Youth Leadership Program Form

Youth Leadership Programs

Apply by January 10, 2025

First name*

Last name*

Email*

Phone

DMEA account number

Parent / guardian's name*

High school*

Current grade level*

GPA (out of 4.0)*

Date of birth*

Address*

City*

State*

Zip*

Check this box if your physical address is different from your mailing address.My mailing address is different.

Mailing address

Mailing city

Mailing state

Mailing zip

List your extracurricular activities, such as academic clubs, sports, and school related organizations.*

List your volunteer activities.*

Tell us why you would like to participate in the Youth Tour or Youth Camp.*

Submit a 500-word essay. Think about your current school and identify something you'd like to change or a problem you'd like to solve. It can be a scheduling fix, waste issue, or ethical dilemma - anything that is of importance to you. Explain the issue, why it is significant to you, and identify your solution.*

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