Future Leader Camp July 11th Session

Future Leader Camp Application

Have you attended an in-person FLC at Norwich University before?*

A session for returning campers costs $1,000 which includes: uniforms, dorm room stay, meals, and all activities!

We split the cost into two payments:

A $300 deposit, which is due upon registering
The remaining $700 is due three weeks before camp starts

Second time attendees who register for FLC during Black Friday promotion will receive a $100 discount off of the $1000 price.

Are you interested in applying for a Corporal position? As a Corporal, you will assist Cadre with learning to lead a small group, working with photos and communications, and assist with gathering and delivering supplies. You will also arrive the day before camp starts.

Your Information

Student First Name*

Student Middle Name

Student Last Name*

Student Participant Email Address*
(Please don't use a school account)

Confirm Student Participant Email Address*
(Please don't use a school account)

Family Email Address*

Phone Number Type*

Home Phone Number*

Student Mobile Phone Number*

Would you like to receive text messages at this number? *Select "yes" to receive application status updates and important info from your admissions counselor.

Yes

No

Birthdate*

Please select the gender that you identify with:*

High School:*

CEEB Code

What grade will you be entering in the fall?

10th Grade

11th Grade

12th Grade

A student Attending Norwich University Freshman Year With Paid Deposit

Mailing Address

Mailing Address*

Country

Street

City

Region

Postal Code

Emergency Contact Info

Emergency Contact Name:

Emergency Contact's Relation to Student:

Emergency Contact's Daytime Phone Number:

Emergency Contact's Evening Phone Number:

Emergency Contact's Mobile Phone Number:

Your Interests

When do you plan to start college?*

What academic major would you like to study?*

Which campus lifestyle do you prefer?*

Which ROTC Branch do you prefer?*

Are you planning to play a varsity sport in college?

sport rating (hidden)

Referral Information

JROTC Unit Commander or Counselor (Full Name):

JROTC Unit Commander or Counselor's Phone Number:

Have you ever been placed on probation, suspended or dismissed from school?

Travel Information

How will you be arriving to campus?

If a student is planning to fly alone and requires transportation to and from the Burlington Airport(BTV), the Admissions Staff can make transportation arrangements at no additional cost. The student’s flight must arrive and depart from the Burlington Vermont Airport (BTV). Flights must be scheduled to arrive before NOON on arrival day and must be scheduled to depart after 1:00 p.m. on departure day. Please submit flight itineraries, no later than two weeks before the event in your FLC portal.

Photo Release

I understand that by registering for this event that I agree to permit Norwich University to use photos/videos taken during the Future Leader Camp (FLC) to be used in future marketing materials and/or on their web site at www.norwich.edu.

By registering for this event, I release any and all rights and claims for damages against Norwich University, its representatives, and assigns, from any and all potential injuries suffered by the participant due to his/her participation in the Future Leader Camp (FLC). This waiver/release of liability extends to my/our heirs, executors, administrators, and assigns.

Concur

Medical History Questionnaire

Do you take any type of medication?

Please list and explain medications:

Do you have any allergies or dietary needs/restrictions?

Please explain:

Do you have any special dietary needs or allergies to food?

Please explain food allergies:

Please select if you have had history in any of the following (Ctrl click to select multiple):

Please explain any medical issues that you selected above further, if needed:

Uniform Measurements

Height (Inches)*

Weight (Pounds)*

Measuring for Proper Pant Size: To determine waist size, measure around the narrowest area of the natural waist. To determine proper length, measure the inseam along the inside of the top of your leg to the bottom of the ankle (just below ankle bone).

Please select your pant waist size:

Please select your pants inseam:

Measuring for Proper Hat Size: To determine proper hat size, measure around the head above the ears and eyebrow ridges. Remember, if you cut your hair after measuring it may influence the proper fitting of the hat.

Please select your hat size:

Measuring Proper Shirt Size: To determine proper shirt size measure under the arms and around the chest. With the arms relaxed at sides, measure around the fullest area of the chest keeping the tape measure parallel to the floor.

Please select your shirt size:

How Did You Hear?

How did you hear about Norwich?

Please explain how you heard about Norwich:

Please enter the alum's name:

What relation is this alum to you?

Additional Information

Have you ever been arrested or convicted of a felony or misdemeanor other than a minor traffic violation?*

Yes

No

Please Explain

Have you ever been under investigation, subject to discipline through a Title IX proceeding, or criminally convicted of sexual, interpersonal, or other acts of violence?

Yes

No

Please Explain

Is there anything else we need to know about you?

Generate Pin:

Payment

A $300 deposit is due at the time of registration.

Amount Due
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Future Leader Camp July 11th Session