UBUNTU - Leaders in Lancaster

Growing Leaders | Building Communities

“I am who I am because of who we all are.” Do you believe that? The team at Ubuntu Leaders in Lancaster (ULL) does.

The statement above is a definition of the ancient African word “Ubuntu” as described by ULL. Launched out of Millersville University’s Learning Institute, the mission of this new community-based program is centered on that word, the first in its title. The team at ULL believes that that term comes to life by interacting with and serving others for the benefit of one’s community.

No one is more capable of facilitating local and global change than the youth. As a result of extensive research and preparation, ULL has developed a program specifically designed for individuals in seventh through 12th grade who attend school in Lancaster County and want to make a difference in their communities. ULL aims to help these individuals enhance compassion skills, develop leadership abilities, advocate social justice and foster global citizenry.

Ubuntu in the news

Interested in Participating?

Who Can Participate: Anyone in grades 7-12th who attend school in Lancaster County

Day/Time: Mondays from 4-5:30 p.m.

NEXT GROUP BEGINS SEPTEMBER 11, 2017

Location: Ware Center, 42N. Prince Street, Lancaster.

Register: In order for your son/daughter to participate in the Ubuntu Leaders in Lancaster program, the parent/guardian and the youth will need to fill out this four-part online form below. Complete one form per youth. Thank you.

Any questions, please feel free to contact LearningInstitute@millersville.edu

Ubuntu Registration Form

In order for your son/daughter to participate in the Ubuntu Leaders in Lancaster program, you will both need to fill out this four part online form. Complete one form per youth. Thank you.

Any questions, please feel free to contact LearningInstitute@millersville.edu

1Youth Waiver > 2Youth Informed Assent > 3Parental Informed Consent > 4Photo/Video Consent > 5Review Your Entry
Name of Youth Name of Youth * First Last
Youth Email *
Name of Parent/Guardian Name of Parent/Guardian * First Last
Parent Email *
Phone 1 Phone 1 * - ### - ### ####
Phone 2 Phone 2 - ### - ### ####
Name of emergency contact (if parents cannot be reached) Name of emergency contact (if parents cannot be reached) * First Last
Phone Number for emergency contact Phone Number for emergency contact * - ### - ### ####
Medical Allergies *
Other Medical Issues *
Family Physician *
Phone for Family Physician Phone for Family Physician * - ### - ### ####
Medical Insurance Company *
Insurance Company Phone Insurance Company Phone * - ### - ### ####
Insurance Company Policy Number *
Anything Else You Would Like Us To Know: *
Please enter the parent or legal guardian name as well as the minor's name in the spaces indicated below. *
I, ___________________________, Parent or Legal Guardian of _____________________________ (herein “Minor’), grant permission to participate in the activities of the Millersville University Ubuntu Leaders in Lancaster. In the event that I or my secondary contact cannot be reached to make arrangements for emergency medical attention, I authorize Millersville University or person in charge to act on my behalf, and I give my consent for any and all treatment for Minor when Minor is in this individual’s care. Parent/Guardian expressly and explicitly releases any and all claims as a result of Minor’s participation in the Ubuntu Leaders in Lancaster program, including claims for medical expenses that Parent/Guardian may incur for treatment of injuries sustained by Minor. Parent/Guardian assures Millersville University that he or she has adequate health insurance necessary to provide for and pay any medical costs that directly or indirectly results from Minor’s participation in the Ubuntu Leaders in Lancaster program. Parents also agree to indemnify and hold harmless Millersville University, its agents, representatives and employees, the State System of Higher Education and the Commonwealth of Pennsylvania from any and all claims for any loss or damage incurred as a result of Minor’s participation in the Arts Smarts Camp. By my signature below, Parent/Guardian intends to be legally bound and certifies that he/she completely understands the document.
Parent/Guardian - draw your signature into the box below. *

Clear
Date Date * / MM / DD YYYY

Contact Us

The Learning Institute:
Global Well-Being and Social Change
717-871-2103

Karen Rice, Department Chair of Social Work at Millersville University
(717) 871-5297

UBUNTU - Leaders in Lancaster

Growing Leaders | Building Communities

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Ubuntu Registration Form

Ubuntu Registration Form

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