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Youth Leadership Coalition Application 2019
Application deadline is May 1st, 2019. Please be aware that your application does not guarantee you a spot in the program. Only 10 students will be selected after in person interviews are completed. APPLICATION MUST BE FILLED OUT BY YOUTH NOT A PARENT.
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* Indicates required question
Email
*
Your email
Name (First and last)
*
Your answer
Address (City, state, Zip code)
*
Your answer
Phone number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
When is the best time to reach you?
*
Morning
Afternoon
Evening
Which is the best way to contact you?
*
Email
Phone call
Text message
In person
Other:
Are you available June 11-August 9 Tuesday & Wednesday 10:00 am-12:00pm? Please note that internship times may vary
*
Yes
No
Maybe
Other:
School most recently attended ?
*
Your answer
Do you or have you ever had a school IEP (Individualized Education Plan)
*
Yes
No
Not sure
Other:
Grade you will be entering next school year?
*
7th
8th
9th
10th
11th
12th
Why would you like to be apart of the Youth Leadership Coalition?
*
Your answer
List your interests and skills (e.g. creative arts, sports, animals, woodworking, etc.)
*
Your answer
What is one goal that you have set or would like to set this summer?
*
Your answer
What topics interest you? Check all that apply
*
Interview skills
Resume and cover letter development
How to look for a job
How to develop work ethics
Career exploration
Goal setting
Leadership skills
Money management
How to open a checkings/savings account
How to responsibly use a credit card
Credit cards/credit scores
Healthy living
Other:
Required
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