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Welcome Title
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.
  • PLEASE NOTE that upon acceptance all applicants will be expected to pay a $25 program membership fee.
 
 
Section I: Student Information
 Name *
 School *
 Grade Level *
 Address *
 City *
 State *
 Zip *
 Phone Number
Primary: *(i.e. 333-333-3333)
 Secondary:
 E-Mail Address *
 
Section II: Extracurricular Activities
Member of a Club/ Organization  Yes    No 
List all clubs and officer positions:
Member of a Sports Team?  Yes    No 
   Frosh/Soph    Junior Varsity    Varsity  
Working? If so, how many hours per week  do not work   1-5 hours          6 -10 hours    11-15 hours 
Number of Years in YLA  0 year            1 year               2 years           3 years            4 years 
Are you in any AP classes?  Yes    No 
   Number of AP/IB Classes:
 
Section III: Short Answers
1. Why do you want to join YLA?
(250 Characters Max.)
 
2. What can you contribute to the community? What can we do to help you (be a leader, contribute, etc)?
(250 Characters Max.)
 
3. If you were stuck in an elevator, what would your first choice of action be?
(250 Characters Max.)
 
 
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.
   
 
   
 
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