Service Leader Application

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EPIC Service Leaders Application

EPIC Service Leaders are youth who have successfully completed the Service Warrior Program and return to serve as peer mentors to the new team of EPIC Service Warriors. The EPIC Service Warriors Program runs from May 2027 to May 2028. During the year, Service Warriors and Service Leaders will participate in the EPIC Service Warrior Opening Day/Orientation, a minimum of 12 community service projects, 10 Leadership Development Trainings in the Boston or Worcester area, and a Graduation Celebration. Service Leaders will also take on additional leadership opportunities: 1. Service Leaders will participate in their own orientation. 2. Service Leaders will also support in teaching/training of the EPIC volunteer program. 3. During the Service Warrior year, some of the Service Leaders will attend monthly one-on-one meetings with the Youth Program Specialist of the City they are a part of, and monthly Service Leader team trainings.

The EPIC Service Warriors program costs $250 for the program year and this fee also applies to Service Leaders. This one time fee will provide each Service Warrior and Service Leader with uniforms, meals at each service day, the EPIC Service Leader Handbook. Financial support is offered to Service Leaders who qualify. Application Deadline: Friday, January 29, 2027.

Application Deadline

January 29, 2027

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Before Starting the Application

The last page of this application requires you to respond to short-answer questions. Please take some time to complete your answers to the following questions in a separate word document BEFORE you start the application. This will ensure that you have material available to copy and paste without the risk of being timed out while filling out the application.

Please answer each question in 3-7 sentences.

1. What have you learned as an EPIC Service Warrior?

2. Why do you want to return as a Service Leader for next year's Service Warrior Team?

3. What skills or qualities do you have that will help you in the role of a Service Leader?

4. How would being a Service Leader help you meet your future goals? (These goals can be education, employment, independent living, or personal goals.)

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Youth Information

Are you applying to be a SL for Boston or Worcester? *

First Name *

Last Name *

Address 1 *

City *

State *

Zip *

Phone *

Phone2

Phone3

Email *

Email 2

Email 3

Age *

Birth Date *

Gender *

Pronouns (Ex: He/him/his, She/her/hers, they, them theirs, etc.) *

Race/Ethnicity *

Languages Spoken

Household Income *

School *

Current Grade *

Do you receive or are you eligible to receive free lunch? *

T-Shirt Size *

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Parent/guardian Information

If you do not have a parent/guardian, please write in N/A.

Parent/guardian First Name *

Parent/guardian Last Name *

Parent/guardian Relation to Youth *

Is this individual the legal guardian? *

Parent/guardian Street Address *

Parent/guardian City & State *

Parent/guardian Zip *

Parent/guardian Home Phone

Parent/guardian Cell Phone *

Parent/guardian Email Address *

Emergency Contact Information

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Relation to Youth *

Emergency Contact Home Phone

Emergency Contact Cell Phone

Emergency Contact Email Address

Primary Care Physician Name

Physician's Phone Number(s)

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Medical Information

Medical Conditions

Any restricted activities

Dietary restrictions

Do you have MassHealth *

Allergy Information

Food Allergies

Medication Allergies

Other Allergies

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Employment Experience

Employer 1

Duties for employer 1

From/To

# of Hours/Week

Employer 2

Duties for employer 2

From/To 2

# of Hours/ Week 2

Employer 3

Duties for employer 3

# of Hours/Week 3

Volunteer Experience

Organization 1

Duties 1

From/To or Total # of Hours at organization 1

Organization 2

Duties 2

From/To or Total # of Hours at organization 2

Organization 3

Duties 3

From/To or Total # of Hours at Organization 3

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Before Starting the Application

Please answer each question in 3-7 sentences.

What have you learned as an EPIC Service Warrior? *

Why do you want to return as a Service Leader for next year's Service Warrior Team? *

What skills or qualities do you have that will help you in the role of a Service Leader? *

How do you think being a Service Leader will help you meet your future goals? (These goals can be education, employment, independent living, or personal goals.) *

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Recommendation Form

EPIC Service Leader Applicants must submit a letter of recommendation written by an adult who can comment on your leadership skills and potential. A teacher, employer, or other community leader must complete this form. A family member, personal friend or EPIC staff cannot complete this form. After you press submit on the bottom of this page, you will receive a confirmation email confirming that we have received your application. A link to the Service Leader Recommendation Form will be attached to the email.

Please send the recommendation form link to at least 1 adult.

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EPIC Service Leaders Application

Application Deadline

Before Starting the Application

Youth Information

Parent/guardian Information

Emergency Contact Information

Disability Information

Medical Information

Allergy Information

Employment Experience

Volunteer Experience

Before Starting the Application

Recommendation Form