Jackson Polite Ford Leadership Institute

The Jackson, Polite, Ford Leadership Institute seeks to foster critical thinking skills and build a community of like-minded youth committed to leadership development, social activism, and justice. Participants will cultivate a deep sense of purpose through community empowerment and re-centering. Identify and enhance civic participation while working towards academic success.

This program is an 8-week intensive Leadership Institute geared for high-school aged youth that centers social justice activism, leadership development and cultivates intellectual and personal growth.

The JPF Youth Leadership Institute is named after Hazel Jackson, Nelson Polite, Sr., and Ron Ford who all made significant strides and marks throughout Lancaster County.

Hazel Jackson was the first African American to teach for the School District of Lancaster, and the first African American professor at Millersville University. Nelson Polite, Sr. was the first African American city council member in Lancaster, Pennsylvania who made significant contributions to Lancaster County. Mr. Ron Ford was the first African American to run for mayor in Lancaster City, served on city council and the first and only African American to serve as County Commissioner.

All were civil rights leaders and champions for a more prosperous and thriving Lancaster for all, with a specific mission uplift and empower African Americans in Lancaster.

The JPF Leadership Institute is designed to strengthen, empower and equip youth to be agents of change and to promote ethical leadership and activism models for youth to make an impact in their lives, community and society as a whole.

Jackson, Polite, Ford Leadership Institute

October 26 – December 7, 2019

JPF Leadership Institute Application

Program Date: Saturday, October 26 to Saturday December 7, 2019

Applicant's Information
Name*
First Last
Email*
Phone
Age*
What is your School District?*
What grade are you currently in?*
- Freshman
- Sophomore
- Junior
- Senior
Program Information
What does leadership mean to you?
What do you understand about leadership and community building and what would you like to get out of the program?
What are your strengths? What are tools could you benefit from learning or gaining?
Do you commit to fully participating in the JPF Leadership Institute by attending all sessions and engaging with your fellow cohort?
- Yes
- No
Parent & Guardian Information
Name
First Last
Phone
Email
Consent
I agree to the photography/videography policy
By checking this box, the party authorizes the Community Action Partnership of Lancaster County, (CAP) and/or its officers, employees, representatives, affiliates, associates, agents and contractors to photograph and/or record graphic images of the undersigned and/or the minor child of the undersigned named.

And hereby authorizes CAP to permit the use and display of such photographs and/or images in any print or electronic publication or presentation of CAP including display on the Internet site maintained by or on behalf of CAP.

The undersigned hereby releases, holds harmless and forever discharges CAP, and its officers, employees, representatives, affiliates, associates, agents, and contractors from and against any and all claims, actions, demands, damages or liabilities of any kind or nature arising out of or in connection with the authorized use of said photographs and/or images, including but not limited to, any claims for invasion of privacy, defamation, compensation, royalty, or infringement of proprietary rights. The undersigned has read this release before signing below and fully understands its contents, meaning and effect.

Jackson Polite Ford Leadership Institute

JPF Leadership Institute Application

Applicant's Information

Program Information

Parent & Guardian Information