Youth of the Year Interest Form
Hello! This form is to determine your interest and eligibility in applying to be the Boys and Girls Club of Garfield's Youth of the Year. If you meet the eligibility requirements, please fill out the form accordingly. 

If eligibility is determined, we will email you an application form directly or arrange for you to pick up a printed copy. Application will be accepted starting on January 16th and no later than February 16th, 2024 at 11:59pm. 

The Eligibility Requirements are as follows:

Identification: Acceptable forms of identification include: state-issued driver’s license or learner’s permit, birth certificate, U.S. passport, Social Security card, military ID card, certificate of citizenship and naturalization, employment authorization number and Native American identification card. If candidates do not have one of these forms of ID, a school ID will be accepted. U.S. citizenship is NOT required.

We recognize that in some instances, a candidate’s name may not match the name printed on their
formal identification. BGCA supports all youth and is committed to providing an affirming and inclusive
experience for everyone. Candidates may participate in all Youth of the Year activities, using the name
they identify with, regardless of whether it matches the name on their formal ID. Staff will work with
candidates and their advisors on a case-by-case basis, to ensure that all activities are safe and inclusive for everyone.

Attendance: Candidates must have active and continuing membership in a Boys & Girls Club or
affiliated Youth Center for at least two years prior to Jan. 31, 2024. Membership must be consecutive and
may include more than one Club or organization.*

*Please note: Due to COVID-19, we will make an exception on continuous and consecutive membership. As long as the candidate has been engaged for at least one year, they may apply.

For more information please visit the Youth of the Year Website which can be found here 


if you have any questions please contact Sarah DePeri at the Boys and Girls Club of Garfield at 
973-478-7662 ext. 203 or via email at sdeperi@bgcgarfield.org
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First and Last name  *
Email Address *
Phone number  *
Date of Birth *
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Age as of January 31, 2024 *
Are you interested in being the Youth of The Year? *
Do you meet the eligibility requirements? *
What year/years did you attend the Boys and Girls Club? *
What school do you currently attend? *
What grade are you in? *
What college/colleges are you interested in attending? *
I understand that this google form just serves as an interest form. I understand that, if eligible, I will receive the full application via email and must complete and submit it by February 16th, 2024 at 11:59 pm.  *
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