Youth Leadership Academy Application

First Name

Middle Name

Last Name

Preferred Pronoun

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone Number

Email Address

Current Grade/Year of Enrollment

Sessions will be held September 10th, 17th, 24th, and October 1st. Are you able to attend all four sessions?

Yes

Which session(s) are you unavailable?

April 2, 2024

April 9, 2024

April 16, 2024

April 23, 2024

April 30, 2024

Please provide a maximum one-page response (be creative!) to one of the following questions

In a perfect world, what does social justice look like?

If you were given $1 million, what would you do with it?

Describe your perfect job/career and why.

Response

Response can be up to one page