United States Senate Youth Program Application

United States Senate Youth Program

Indiana Application - 2024
Please view the 2024 United States Senate Youth Program Brochure.

Further programmatic information can be found on the USSYP Website.
Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Please indicate your pronoun preference
ex (he, him, his)
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student Email Address*
Student Cell Phone Number*
Home Phone Number

Area CodePhone Number
Age*
High School Graduation Year*

20242025
Are you a U.S. citizen or legal permanent resident of the United States? Note: Students who are not U.S. citizens must be in possession of their I-511/"Green Card" at the time of application to be eligible.*

YesNo
Parent/Guardian Name*

PrefixFirst NameLast NameSuffix
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Cell Phone Number*
Parent/Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Second Parent/Guardian Name (optional)

PrefixFirst NameLast NameSuffix
Second Parent/Guardian Email Address
example@example.com
Second Parent/Guardian Cell Phone Number
Second Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian signature confirming you will be able to attend Washington Week (March 2-9) if you are selected as a Delegate from Indiana. Attendance is required. *

Clear
School You Currently Attend*
School Address*

Street Address

Street Address Line 2

CityState

Zip Code
School Principal *

PrefixFirst NameLast Name
Principal Email Address*
example@example.com
School Phone Number*
Is this school a public or private school?*

PublicPrivate
Mark the ELECTED/APPOINTED office you now hold for the entire 2023-2024 school year in one of the following student government, civic, or educational organizations:*

Student Body PresidentStudent Body Vice PresidentClass PresidentClass Vice PresidentStudent Body SecretaryClass SecretaryStudent Body TreasurerClass TreasurerStudent Council RepresentativeOfficer in a National Honor Society ChapterStudent representative elected or appointed (appointed by a panel, commission or board) to a local, district,regional or state-level civic, service and/or educational organization whose primary purpose is public/community service and constituent representation. Such positions will be subject to approval by the stateselection administrator.
The following positions DO NOT qualify for the program:

• Attendance or officer position at Boys/Girls Nation or State summer conference
• General Member of a National Honor Society (serving as an elected officer is acceptable)
• Member or leader of the Boy Scouts, Girl Scouts or a sports team
• A founder or chairperson of a self-created group
• A participant, captain or officer in Mock Trial, Debate Team, Model UN or other academic club, mock legislature, conference or competition.
What is your qualifying position if not student body or Honor Society officer? What do you do to serve your community and support your constituency year-round in this position? (50 words)

0/50
Please list any other qualifying positions, or positions of leadership in your community, organizations, etc.
What is your rank in scholastic standing of your class?*

Upper 1%Upper 5%Upper 10%Upper 15%Upper 25%
What are your future plans, goals, etc.?*
Personal Essay:

Describe each of the following elements as they pertain to you:
- Current elected student position held and all past involvement in student government/leadership.
- Activities and achievements that demonstrate leadership in school and community that specifically support your desire to serve as your USSYP State delegate.
- Involvement in community service initiatives or programs outside of school
- How your participation in USSYP will enhance your understanding and interest in the political and governmental process of the United States;
  Share ways in which you think being chosen for the U.S. Senate Youth Program will help you explore some of the most important questions you have at present about the challenges facing the country
Personal Essay file Upload (PDF preferred)

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Essay should be 300-500 words. Essay should NOT have any student-identifying marks (name, school, grade, etc). Cancelof
Persuasive Essay:

Submit a persuasive essay researched and written on a topic of social significance related to a contemporary state, national, or world event. Select a topic important to you, take a stand, relate its importance to you, and defend your position. The essay will be judged on organization, ideas and content, evidence of personalization, and writing conventions including citation of sources.
Persuasive Essay File Upload*

Browse Files
Essay should be 300-500 words. Essay should NOT have any student-identifying marks (name, school, grade, etc). Cancelof
Video Essay:

Please submit a video presentation of no more than 3 minutes in length on this
topic: Imagine that you are a newly elected Senator from Indiana. Describe who you are, why you are proud to represent Indiana. Tell us the personal characteristics you feel will make you an effective leader in Washington. Note what legislative initiatives you will champion and why they are important to you and your constituents. Please note any historical leadership figures you would like to emulate.

Please upload your video below, or paste a link to where it is hosted. Contact Joseph O'Connor if you need assistance with this step (joconnor@inbarfoundation.org)
Video Essay File Upload

Browse Files

Cancelof
Video Essay URL Link
Principal Letter of Support*

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Attach Principal's letter of support. In this letter of support, the principal should verify your school activities and leadership offices held and endorse you as a representative of your school and state. Cancelof
Community Leader Letter of Support*

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Attach Community Leader's letter of support. This should be an adult representative of an organization or activity where the student has a record of leadership and service to others and/or where the student is currently holding a qualifying leadership position for USSYP. Cancelof
Signature - I attest that I meet all eligibility criteria and the above information is true and accurate to the best of my knowledge.*

Clear
Should be Empty:

United States Senate Youth Program

Personal Essay:

Persuasive Essay:

Video Essay: