Polar Bears International Teen Arctic Ambassador Application

Are you the next Teen Arctic Ambassador from the San Diego Zoo to the Polar Bears International's Teen Leadership Camp? Tell us about yourself in this application. You cannot make any changes to this application once you press "submit application." Therefore, please write your essay using a word processor and when it is ready, copy and paste your text into the essay question box below.

Student Information:
First Name:	Last Name:
Street Address:
City:	State:		ZIP:
E-mail Address:	Birth Date:
Home Phone:	Cell Phone:
Will you be a high school junior in the fall of 2010?		Do you have a passport?
Name of School:
Parent or Guardian Information:
Name(s) of parent(s) or guardian(s):	Contact number for parent(s) or guardian(s):

Student Essay:
After reading the article published in the March 2010 issue of ZOONOOZ, please insert your 1,000-word (or fewer) essay that answers this question: • Why would you be the best Teen Arctic Ambassador for the San Diego Zoo? • Tell us about what you do that shows your commitment to conservation and your leadership. • We also want to know about your interests and extra-curricular programs and how you could incorporate actions for polar bear conservation into those activities.


Please read and check the box below
You (the applicant) understand that you are applying to be the representative for the San Diego Zoo at the Polar Bears International Leadership Camp. The selection of the representative will be made based on the quality of the essay, and interview, if the applicant is selected for that phase. If chosen, you will travel to Churchill, Manitoba, Canada in October 2010. Checking the box belowe indicates parental approval for application to this program. If you are chosen, you understand that there will be further release of liability and permission forms to be completed and signed. I have read and agree to the above statement.