Weighted GPA

Briefly describe why you want to attend ALA Palmetto Girls State. What do you hope to learn from the experience? (Your response should be about 250 words.)

List any roles of responsibility or leadership positions you have held in any family, school, community, faith-related, employment, or other extracurricular activities (e.g., tutor, babysitter, coach, club officer, team captain, etc).

List any school or community extracurricular activities in which you have participated that are not listed above. This may include clubs, sports, school, or faith-related activities, or jobs.

Everyone who attends ALA Palmetto Girls State is active in their community and their school. What sets you apart from the others, and what do you think you could gain from attending the program? (Please respond with at least 250 words.)

Are you a member of the American Legion Auxiliary?

Please read and accept the ALA Palmetto Girls State pledge.

As a Delegate to and a Citizen of ALA Palmetto Girls State, a program sponsored by the American Legion Auxiliary, Department of South Carolina, I voluntarily make the following PLEDGE:

1. I will obey the rules of ALA Palmetto Girls State. I will show consideration and respect for all individuals participating in ALA Palmetto Girls State at all times, including staff, other delegates, and speakers. I will not use obscene, profane, threatening, or harassing language or engage in any unwanted or inappropriate conduct or any form of harassment or intimidation. I understand the terms "harassment" and "intimidation" include any verbal or physical conduct that unreasonably interferes with another's performance or creates an intimidating, offensive, or hostile environment. I will promptly report any such conduct by others to my Senior Counselor(s) and/or Administrative Staff.

2. I will be present for every portion of the ALA Palmetto Girls State session and will remain in its entirety, unless advanced permission is obtained in writing from the American Legion Auxiliary Unit that sponsored me and from the Director of ALA Palmetto Girls State.

3. I will not leave assigned areas of the Presbyterian College campus, except as the ALA Palmetto Girls State schedule allows or as may be approved by the Director of ALA Palmetto Girls State.

4. I will take a serious and conscientious interest in discharging my duties as a Delegate to and Citizen of ALA Palmetto Girls State.

5. I understand that ALA Palmetto Girls State is an Americanism program established to educate young women in the duties, privileges, rights, and responsibilities of American citizenship. I further understand that the program is a study of city, county, and state government and that the ideals of Americanism, citizenship, patriotism, and "God and Country" are featured throughout the week.

6. I understand the ALA Palmetto Girls State program continually strives to reflect a cross-section of South Carolina, and to further this goal, ALA Palmetto Girls State embraces and encourages diversity among its staff, volunteers, and delegates. I further understand ALA Palmetto Girls State aims to create an environment which promotes diversity, equity, and inclusion regardless of an individual's race, color, religion (creed), nationality, sexual orientation, gender identity or expression, socioeconomic status, location (rural, urban, or suburban) in this state, or political views and beliefs.

7. I understand ALA Palmetto Girls State will not tolerate any forms of intentional discrimination and will address any bias incidents reports. A bias incident is defined as the use of any disparaging or offensive remarks, including slurs, epithets, or stereotypes about race, color, disability, nationality, sexual orientation, gender identity or expression, or religion (creed) and the display or use of any offensive or intimidating imagery or symbols. I further understand that upon receiving a bias incident report, ALA Palmetto Girls State will immediately take steps to reaffirm its nondiscrimination policy and provide a resolution, which may include mediation, education, and/or removal of an individual from the ALA Palmetto Girls State program.

8. I understand ALA Palmetto Girls State recognizes and supports delegates' rights to freedom of speech, expression, and association, including the use of online social networks. However, I further understand that participation in the ALA Palmetto Girls State program is a privilege, not a right, and I represent the American Legion Auxiliary and am expected to portray myself, my school, and the Auxiliary in a positive manner. I therefore agree that any online postings relating to ALA Palmetto Girls State will be consistent with federal and state laws and further agree to the following:

A. I understand everything I post online is public information. I cannot control any text, photo, or video once it is posted online, even if I limit access to my post(s). I understand information (including pictures, videos, comments, and posts) may be accessible even after I remove it.

B. I understand ALA Palmetto Girls State will not tolerate disrespectful comments and behavior posted on social media, including derogatory or defamatory language, images, or videos, or comments that create a danger to the safety of another person or that constitute a credible threat of physical or emotional injury to another person.

C. I understand ALA Palmetto Girls State reserves the right to have staff members review and/or monitor delegates' social networking sites and postings regarding the ALA Palmetto Girls State program. I further understand any violation of law or of ALA Palmetto Girls State's guidelines is subject to investigation and possible removal from the ALA Palmetto Girls State program and/or referral to appropriate law enforcement agencies.

9. If elected to office, I will serve to the best of my ability and participate in the activities designed for my office.

10. Upon returning home and if requested by the American Legion Auxiliary Unit which sponsored me, I will make a formal report (written or oral) of my impressions and experiences at ALA Palmetto Girls State.

11. I will live in residence as a Citizen of ALA Palmetto Girls State.

12. I will return to my high school for at least one semester of my senior year.

13. I am not a member of, nor do I subscribe to the principles of, any group opposed to democracy or to the forms of government of the United State of America and the State of South Carolina.

14. I will not use the ALA Palmetto Girls State name in any commercial or promotional activity.

First Aid and Emergency Medical Treatment:

I recognize that there may be occasions where the student named above may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of this organization to seek and secure any needed medical attention or treatment for the student named above including hospitalization, if in the agent's opinion that such need arises. In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment.

I give permission to Palmetto Girls State medical staff, as well as the Presbyterian College medical staff, to give over-the-counter medications as needed, as well as, attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment. I give permission for my student to be transported to a medical center in any situation deemed by the Palmetto Girls State medical staff to be an emergency.

Over-the-counter medications include, but are not limited to:

• Tylenol
• Ibuprofen
• TUMS
• Throat spray
• Benadryl
• Aloe vera
• Neosporin
• Cough drops
• Pepto Bismol
• Laxatives
• Claritin/Zyrtec

Are you a US citizen? (If no - please list where you were born.)

Girls State offers a choir. Would you like to participate in the Girls State Choir?

Girls State offers a band ensemble. Would you like to participate in this band? If yes - please indicate the instrument you play.

Instructions

Use these fields to provide your availability for the program.

Checking the box for "Request Early/Temporary Leave" means I am reserving an opportunity to participate in something else during Girls State and will request approval to leave the program for a short duration (you will be placed on a waiting list until your leave is reviewed and approved).

Leaving the box unchecked means I am committed to participating in the duration of the program from registration through graduation and have set aside any alternative activities such that I am not intending to leave the program at any point. (Please note that any change in your commitment to the duration of the program may result in your slot being rescinded).

Read Carefully

Email Address and Cell Phone Number

Your email address and cell phone number will be used extensively to communicate important information from Palmetto Girls State. By hitting submit, you are agreeing to receiving both emails and text from Palmetto Girls State. When you hit submit, you will be sent an email and a text. The link in the email will verify that your email is valid and that you have access to it. Please open that email and click the link. Your request for consideration is invalid until that link is clicked. You will also receive a text with a link. That text will verify that your cell phone number is valid and that you have access to it. Please click the link in the text. Your request for consideration is invalid until that link is clicked. To clarify, you must click the link in the email AND the text in order to complete your request for consideration.