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

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.