OMLI 2022 Student Application
The Oregon Migrant Leadership Institute (OMLI) will take place at Treasure Valley Community College (TVCC) this summer. Eastern Oregon students from migrant and farm work backgrounds will learn about college and develop leadership skills. Complete this application before June 1, 2022. Contact your school counselor or graduation specialist with any questions. El Instituto de Liderazgo Migrante de Oregon (OMLI) se llevará a cabo en Treasure Valley Community College (TVCC) este verano. Los estudiantes del este de Oregon de origen migrante y de trabajo agrícola aprenderán sobre la universidad y desarrollarán habilidades de liderazgo. Complete esta solicitud antes del 1 de junio de 2022. Comuníquese con su consejero escolar o especialista en graduación para cualquier duda.
First Name (Primer nombre) *
Last Name (Apellido) *
Date of Birth (Fecha de nacimiento) *
School (Escuela) *
Current School Grade Level (Grado escolar actual) * 6th Grade7th Grade8th Grade9th Grade (Freshman)10th Grade (Sophomore)11th Grade (Junior)
COE Number or Migrant Dates of Eligibility (Número de COE o fechas de elegibilidad del migrante) Check with your migrant school specialist for assistance. / Consulta con la especialista de inmigrantes de su escuela para obtener asistencia.
Email * Email must be unique to each student filling out form and not the same as their parents. / El correo electronico debe ser unico para cada estudiante y no lo mismo que sus padres.
Address (Direccion de casa) *
City (Ciudad) *
State (Estado) * Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Europe Armed Forces Pacific Armed Forces the Americas British Columbia California Canada Canal Zone Colorado Connecticut Delaware District of Columbia Fed States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Neveda New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Northern Mariana Islands Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas U.S. Minor Outlying Isl. Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
Zip Code (Código postal) *
Student Mobile Phone Number (Número de teléfono móvil del estudiante) *
May we send you texts? (¿Podemos enviarle mensajes de texto?) * Yes No
Parent or Guardian's Name(s) (Nombres de los padres o tutores) *
Parent or Guardian's Phone Number(s) (Números de teléfono de los padres o tutores) *
How did you hear about us? (¿Cómo se enteró de OMLI?) Coach (Entrenador)College Fair (Feria Universitaria)Counselor (Consejeros)Email (Email)Friends or Family (Amigos o familia)School Visit (Visita a la escuela)Social Media (Medios de comunicación social) TVCC Website (Sitio web TVCC)Other (Otro)
Select the Camp Date You Would like to Attend (Seleccione la sesión de campamento a la que le gustaría asistir) * Middle School Students (Current Grade 6 - 8) - July 11-16, 2022High School Students (Currently in Grade 9 - 11) - July 25 - July 30, 2022High School Students (Currently in Grade 9 - 11) - August 1 - August 6, 2022 We will follow up with you with more details about the camp week you select (Seguiremos con usted con más detalles sobre la semana de campamento que seleccione) *
Areas of Interest (Areas de interés) * Different Careers (Diferentes carreras)How to Overcome Challenges (Cómo superar los desafíos)Setting Goals (Establecer metas)Making New Friends (Haciendo nuevos amigos)Different Colleges (Diferentes universidades)Helping My Community (Ayudando a mi comunidad)Being a Great Leader (Ser un gran líder)
Share about your interest to participate in this summer's OMLI. What do you hope to learn? (Comparta su interés en participar en el OMLI de este verano. ¿Qué esperas aprender?) *
T-Shirt Size (Talla de camiseta) * SmallMediumLargeXL2XL3XL
Photo/Video Release (Publicación de fotos / videos) * Yes No For photos and videos recorded during OMLI, I agree they can be used for promotional purposes - posters, flyers, newspaper, etc. (Para fotos y videos grabados durante OMLI, acepto que se puedan usar con fines promocionales - carteles, folletos, periódicos, etc.) *
Comments