2020-21 Youth Leadership Arlington Application

APPLICANT COMMITMENT

The Youth Leadership Arlington (YLA) Program consists of a nine-month series of events and sessions. Participants are expected to attend each of the six (6) sessions. Absence from more than one session will be due cause for dismissal from the program. You must attend at least 80% of a session or you will be counted absent. Promptness and completion of all sessions is expected. Please do not apply if you are unable to make this commitment. Please note that attendance at the Retreat is mandatory. The YLA Graduation Ceremony will be held jointly with the adult Leadership Arlington program in May 2022.

You will also be invited to participate in a community project sponsored or approved by Leadership Arlington during the YLA year, which may include the Arlington Holiday Lights Parade in December. Please complete the application online no later than June 25, 2021. Information on this application is confidential and reviewed only by the Selection Committee. Please include a copy of your transcript. Incomplete applications will not be considered.

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Referred by (if applicable):

First Name Last Name

Personal Information

Name *

First Name Middle Name Last Name

Preferred Name

Name

Home Address *

Street Address

Street Address Line 2

City State

Zip Code

E-mail *

Phone Number *

Race

Age *

Gender

High School *

Food Restrictions

T-Shirt Size *

Parent or Guardian Name *

First Name Last Name

Parent or Guardian E-mail *

Phone Number

Area Code Phone Number

Relatives who have participated in Leadership Arlington:

Organizations and Activities *

Organization

Approximate Dates of Membership

Official Positions Held

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2

3

4

5

What would you like to accomplish or have accomplished in these activities that you think would be important? *

Personal Viewpoint

1. How do you expect to benefit from participation in Youth Leadership Arlington? *

2. What do you consider your highest responsibility, skill, or accomplishment so far? *

3. Describe two of the most significant challenges facing the Arlington area? *

4. Describe your proposals to solve one of those challenges? *

Awards and Honors Received.

Awards and Honors

Dates Received

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2

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Personal Statement

In 125 words or less, tell us something you want us to know that you haven’t already told us. *

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2021-22 Youth Leadership Arlington Application