:::... Apply Now ...::: Welcome to Youth Leadership America :::...

Welcome to YLA's online member application. We're glad that you are excited about joining but we wanted to take a moment to outline the application process so that you don't forget something along the way.

Fill out the form below with the most accurate and honest information. Don't feel you need to impress us, you're more impressive than you think, and so you need only worry about being honest.
After you have successfully submitted this online application, an email will be sent to you confirming that we did indeed receive your application. Do not forget to download PDF version of a parental waiver you must get signed in order to join YLA.
Print out and have your parent or legal guardian sign the waiver and either mail the waiver to the address provided or bring it in person to the September 29th Movie Night at the Tiger Woods Learning Center.
Bring a registration fee of $25 to the September 29th Movie Night (cash or check, with checks made payable to "YLA")

Section I: Student Information

Name

Birth Date

( MM / DD / YYYY)

School/Grade Level

Address

City

State

Zip

Phone Number

Home:

Cell:

E-Mail Address

Section II: Extracurricular Activities
List all extracurricular activities you will be participating in this year and what position (if any) you hold. Please also estimate the number of hours (weekly) you plan to participate in the activities you list.
Activity/Position Held	Hours per week

Section IV: Commitment

I understand that as a Youth Leadership America member, I will be required to attend weekly trainings and events for a three month period. I understand that if I miss more than two trainings or events, I will risk the opportunity to graduate from the program. I hereby commit to putting forth the time and effort needed to become a Youth Leadership America graduate.