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YL2 (Senior YL) - 2024-2025 Application Form
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* Indicates required question
Email
*
Your email
Your First Name
*
Your answer
Your last name
*
Your answer
Preferred nickname, if any
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender (Male or Female)
*
Female
Male
Required
Your cell phone or primary phone
*
Your answer
You can text me at this number
Yes
No
Clear selection
Parent Name
Your answer
Parent cell phone or primary phone
*
Your answer
Parent Email
*
Your answer
Street Address (for home)
*
Your answer
City (home)
*
Your answer
Zip Code (home)
*
Your answer
Which school do you attend?
*
Choose
Lakeside
Grand Valley
PV
Geneva
Jefferson
Edgewood
Conneaut
Saint John
Grand River Academy
ATECH
South Ridge Christian Academy
Homeschooled
Shirt Size
*
Adult Small
Adult Medium
Adult Large
Adult XL
Other:
Required
Describe a topic you want to focus on in the YL2 program. (examples: education, entrepreneurship, homelessness, opioid crisis, and so on - this can be anything you're passionate about or interested in)
*
Your answer
Briefly describe skills you would like to gain or work on in YL2. (examples: communication, presentation, business finance, and so on)
*
Your answer
What does your perfect program day look like?
Your answer
Describe one thing you are really looking forward to about YL2.
Your answer
Describe one thing you are apprehensive about during your Senior year.
Your answer
Submit
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