SuperCamp Registration for Leaves Girls in the City of Philadelphia

SuperCamp Application for LEAVES Girls (Grades 5-8) in the City of Philadelphia

This application is for the SuperGirls Society (SGS) and its intensive summer training program: SuperCamp.

SuperCamp is a family-focused leadership development program for black girls and their families. The LEAVES SuperCamp is for black girls entering grades 5-8 in fall 2018.

If you are chosen to be a member of this community you are agreeing to support the mission of the GrassROOTS Community Foundation, work in collaboration with other caregivers and girls, and commit to creating a world where all girls grow up to be healthy women.

Acceptance Rate: SuperGirls Society is an exclusive experience for those who are willing to commit to civic change. We accept only 10 percent of all applicants.

Our work is organized around the Kemetic principles of Maat. Please review the details of how we live by and practice these principles daily.

(Click on button below to download PDF document)

Living the Guiding Principles

Submit your information on the form on this page to apply for SuperCamp. *Required Field

About SuperGirls Society Candidate

I am applying for LEAVES SuperCamp in the following city:

City of Philadelphia, PA

Candidate’s Full Name

First

Last

Candidate’s School in Fall 2018*

Candidate’s Grade in Fall 2018*

Candidate’s Favorite Subject*

Candidate’s Email

Candidate’s Phone

Do you as a Candidate have a Social Media (FB, IG, Twitter) account?

Candidates Social Media Handle (FB, IG, Twitter)

Why do you want to be a member of SGS? (250 words max)*

What does social justice mean to you? (150 words max)*

What does black girl excellence mean to you? (200 words max)*

Please provide an example of how you have pushed yourself to work toward excellence. (200 words max)*

Please share any special talents with us (200 words max)

Please let us know if you have any learning challenges or needs that you would like to share with us. (100 words max)*

Please let us know your preferred learning style. (50 words max)*

Rate how often you currently practice each of the following principles:

TRUTH*

ORDER*

BALANCE*

RECIPROCITY*

About Caregiver(s):

Primary Caregiver Full Name

First

Last

Caregiver Street Address*

City*

State*

Postal Zip Code*

Country*

Caregiver Email*

Do you as a Caregiver have a Social Media (FB, IG, Twitter) account?*

Caregiver Social Media handle (FB, IG, Twitter)

Caregiver Phone*

Occupation*

Highest level of education completed*

About Caregiver 2

Caregiver 2 Full Name

First

Last

Caregiver 2 Email*

Caregiver 2 Phone*

Occupation*

Highest level of education completed

Please have one caregiver answer the questions below

Why do you want your daughter to be a member of SGS? (200 words max)*

What does black girl excellence mean to you and your family? (200 words max)*

Please let us know in what other activities your SuperGirl and family are currently engaged. (100 words max)*

At GrassROOTS Community Foundation, we believe in strong racial identity development. We ask that families and girls study and understand the contributions of African people to the world.

SGS is a year-long commitment. Girls and their caregivers are asked to participate in monthly meetings. In preparation for the meetings, girls along with their caregiving circle will have to read emails and review other reading materials.

Being a member of the GrassROOTS Community Foundation is all encompassing. We seek to be in community with those who can incorporate and make these principles a part of their daily life practices.

This includes being willing to make the information a part of your family’s daily practices. Please rate your willingness to do the following:

Post your daughter’s SGS Mantra*

If no, please explain (50 words max)

Timely drop off/Notifying if absent*

If no, please explain (50 words max)

Meeting/Talking with Camp Directors on a weekly basis*

If no, please explain (50 words max)

Help your daughter select and research a person and place of cultural significance*

If no, please explain (50 words max)

Attending Weekly Presentations and Meetings*

If no, please explain (50 words max)

Make sure your daughter attends and participates in SGS meetings and activities (2nd Saturday of every month Sept. – June)*

If no, please explain (50 words max)

SuperCamp tuition is $1800 per girl; this includes cost of camp and year round leadership development. Through our collective efforts, we fundraise to provide financial support to the families we accept. Three out of four families who are accepted receive financial support.

Will you need financial aid?*

YES

If Yes, please provide an explanation (50 words max)

We practice healthy eating and movement. All participants of SGS including the caregiving circle are asked to participate in the SUGAR PLEDGE. This means, if accepted, you must agree to reduce your artificial sugar intake including the full elimination of carbonated sugary drinks from your SuperGirl’s and family’s diet.

Please check the box to indicate your willingness to take the say “NOT TO SUGAR” PLEDGE.*

If no, please explain (50 words max)

Please rate your willingness to pack a balanced lunch for your daughter daily (i.e. containing a fruit, vegetable, and protein)*

Do you have all the resources and knowledge to make this possible?*

If no, what information and training would be helpful to make this possible? (50 words max)

Please rate your willingness to engage in movement activities at least 5 hours per week.*

If no, please explain (50 words max)

All the questions below are intended to help us evaluate your commitment to learning, community building, civic engagement and girls’ leadership development.

Community is important to us. We are interested in better understanding your ideas about community and your history of community engagement.

How would you rate your willingness to let others watch your children?*

Please provide any additional information you think we may need to better understand your response (50 words max)

How do you feel about other adults reprimanding your children?*

Please provide any additional information you think we may need to better understand your response (50 words max)

Are you a member of your child’s PTA?*

How many hours of extracurricular activity does your child participate in each week?*

GrassROOTS Community Foundation recognizes that black people in America are differentially positioned. We believe strongly in cooperative economics and seek to contribute and support black organizations. Please answer the following questions.

Do you regularly patronize black businesses?*

Company/organization #1

Company/organization #2

Reciprocity is a critical part of our work. Please answer the following questions.

What are your top 2 charities of choice and why?

We are building civic leaders; this means our girls’ caregiving circle must be socially aware. Please let us know:

Are you a member of a registered political party?*

Did you vote in the last local elections?*

What are your 2 sources of news?*

How many times of the week do your family sit down to dinner together?*

We are invested in sharing black girls’ stories and re-educating the world about black girl possibilities. One of the most important ways we do this is through social media.

Do you have a social media account? *

If no, are you willing to participate in a webinar where you can learn how to use social media for social justice?

If yes, which are you most comfortable using? (Check all that apply)

Facebook

Instagram

Twitter

Other

Are your accounts private?*

Would you make them public in order to advertise and promote the activities of the GrassROOTS Community Foundation?*

What is a recurring critique you have of your parenting practices? (100 word max)*

What resources and/or training have you had to help you with this challenge? (100 word max)*

What additional resources do you need to help you better support your daughter? (150 word max)*

Please type the characters*

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