Student Address (Street Address, City, State/Province, Zip/Postal Code, Country) *
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Student Grade *
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Student Email *
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Total Household Taxable Income 2021 *
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Number of Members in Household (incl. YMC Delegate) *
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Number of Dependents (under 21) in Household *
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Why do you want to be a YMC delegate? *
We encourage applicants to fill this section out thoughtfully. No delegate need justify their financial situation, but we ask that each delegate reflect on what they hope to get out of this conference.
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Extracurriculars *
If you participate in any extracurricular activities that you feel would support your application, describe them here.
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Additional Comments
Feel free to let us know of any other information relevant to your application!
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