Youth Leadership Hopkinsville Class of 22-23

Youth Leadership

Hopkinsville-Christian County

Application

Class of 2022-2023
A program

designed to identify and develop future community leaders.

www.leadershiphopkinsville.com

2800 Fort Campbell Blvd.

Hopkinsville, KY 42240

Kim Batts (270) 348-0604

Nikki Chambers (270) 498-0660

DEADLINE TO APPLY IS MONDAY MARCH 28, 2022

Youth Leadership Hopkinsville-Christian County
I. PERSONAL DATA
Thank you for your interest in Youth Leadership! Our mission is to identify and develop a cadre of young leaders for the purpose of assuming responsible community leadership roles necessary for impacting the future of Hopkinsville and Christian County.

Applications must be received by Monday, March 28, 2022 to be eligible for consideration. Applicants will be notified by April 29, 2022.

Since the number of participants in the program is limited and the number of applications received far exceeds the number of selected participants, applicants who are not selected are encouraged to reapply in subsequent years.

Good Luck!
Name *

First Name Last Name
Name Tag *
# of years in Hopkinsville-Christian County
Current Class
Birthday

Month Day Year
Date
Email *
example@example.com
Father/Guardian Name *

First Name Last Name
Mother/Guardian Name *

First Name Last Name
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Number

Area Code Phone Number
Cellular Number *

Area Code Phone Number
II. ORGANIZATIONS AND EMPLOYMENT

Please list up to five religious, social, athletic, community and/or any other organizations or projects to which you have contributed leadership.

A. *

	Organization, Employement & Activities	Approximate Dates	Position Held
#1
#2
#3
#4
#5

What have you accomplished in these activites that you think is important? *
How much time each month do you contribute to employment and other organizations and activities? *
List Extracurricular Activities, Special Honors and Awards for Leadership Activities *
List Special Awards, Honors, Prizes for Academic Performance. *
Do you anticipate enrolling college classes during the 2022-2023 school year? *
III. ATTENDANCE
Youth Leadership Hopkinsville-Christian County requires that participants commit to attendance at the overnight opening retreat and be present for all sessions (8 sessions & graduation). One parent must be in attendance at the parent meeting. At the mandatory parent meeting (TBA), a fee of $75.00 must be paid to Youth Leadership Hopkinsville – Christian County. If you are unable to make a full commitment to the program, it is not in your best interest to apply. If you miss more than eight (8) hours during the year, you will not be eligible to graduate. Institutional leave will be granted for participants upon advanced approval. Each participant will be assigned to a project group which requires at least one hour a month of community service. These monthly community service hours are mandatory!
III. CRITERIA FOR SELECTION
1.     The opportunity to commit the time and effort which this program is requires.

2.    Your complete application packet will be reviewed by a committee and will be based on the following criteria: application, prior school & community involvement, essay, and teacher recommendation.

3.    Application Checklist: (check off before submitting to indicate a complete packet)

_____ a. Application (must have necessary signatures)

_____ b. Your typed double spaced essay

_____ c. Completed survey from a teacher in your high school

Incomplete and late applications will not be reviewed.

Youth Leadership Hopkinsville-Christian County
IV. ESSAY

Define community involvement and the importance of being involved in a community. Who are some individuals in your community that make a difference in making your community better? Explain how they make a difference and why you chose them. Tell how your community has been impacted by your community involvement and the involvement of other young people. As a future leader, what will some of your goals for being involved in the community in which you choose to live? What impact will it have on your community and/or the individuals you will serve? Be sure to address all parts of the question in 250 words or more.
Essay *

0/1000
Signature (sign by using your cursor)

Clear
Signature date

Youth Leadership Hopkinsville-Christian County
V. Parent or Guardian Commitment

Please list your parent/guardian contact information below and an email will be sent to them for their approval.
Parent or Guardian Contact Information *

First Name Last Name
Parent or Guardian E-mail *
example@example.com
VI. Principal Commitment

Please list your principal contact information below and an email will be sent to them for their approval.
Principal's Contact Information *

First Name Last Name
Principal's E-mail *
example@example.com
VII. Teacher Recommendation

Please complete the informaiton below for your teacher recommendation.
Teacher's Contact Information *

First Name Last Name
Teacher's E-mail *
example@example.com
If you have any questions about the program or this application, please call Kim Batts at 270-348-0604 or Nikki Chambers at 270-498-0660. If the applicant is selected, he or she will be notified by Friday, April 29, 2022.
Application Deadline is Monday, March 28, 2022
Should be Empty:

Youth Leadership Hopkinsville-Christian County

I. PERSONAL DATA

II. ORGANIZATIONS AND EMPLOYMENT

III. ATTENDANCE

III. CRITERIA FOR SELECTION

Youth Leadership Hopkinsville-Christian County

IV. ESSAY

Youth Leadership Hopkinsville-Christian County

V. Parent or Guardian Commitment

VI. Principal Commitment

VII. Teacher Recommendation