2025 LI YDP Waitlist Application

2025 Summer Program Waitlist Application
Moved off Waitlist?

YesNo
Leadership Initiatives is a registered 501(c)(3) nonprofit that has been fully vetted by GlobalGiving and has received their “Superstar” rating. Leadership Initiatives has also received “Goldstar” status from Guidestar, “Top Nonprofit” status from Great Nonprofits, and was awarded Georgetown University’s coveted Outstanding Community Partner award from their Center For Social Justice.

To finalize your spot on the waitlist, you will be required to submit a $50 deposit at the end of this form. Please use payment information of the person who will be responsible for tuition payments.

As soon as a spot in a selected program becomes available, our Director of Finance, Blake Spreeman, will reach out to confirm the payment plan for your enrollment.

If a spot does not become available by June 10th, 2025, your $50 deposit will be refunded in full.
Student Information
Student First Name*
Student Last Name*
Student Email*
example@example.com
Student Phone Number*
Student Gender*
Student Pronouns*
Student Date Of Birth*

MonthDayYear
Birthdate
Please indicate your current living status:*

Currently living in the U.S. / home address is within the U.S.Currently living abroad / home address is outside of the U.S.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Background Check/Non-Disclosure Agreement*
By entering your initials above you are agreeing that you and your parents must are willing to undergo a background check and sign and uphold a non-disclosure agreement as needed when working as an intern for a partner law firm, as an intern with our business partners, and/or as an intern to work with patients in the medical program. By entering your initials above, you are agreeing to both of these conditions of enrollment.

Student's School Information
What is your current school status?*

High SchoolMiddle SchoolHome School
School Name*
Home Schooling Association (If Applicable)
Grade for the 2024 - 2025 Academic Year*
Expected Graduation Year*
If you encounter any issues filling out the 2025 Program Waitlist Application, please call (202) 738-1115 for assistance.

Parent/Guardian Information

If one of the Parent/Guardians will be the Payer, please put their information in first.
Parent/Guardian First Name*
Parent/Guardian Last Name*
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Is Parent/Guardian address the same as the student's address?*

YesNo
Parent/Guardian Address*

Street Address

Street Address Line 2

CityState

Zip Code
Would You like to add a Second Parent/Guardian?*

YesNo
Parent/Guardian First Name
Second Parent/Guardian First Name*
Second Parent/Guardian Last Name*
Second Parent/Guardian Email*
example@example.com
Second Parent/Guardian Phone Number*
Is Second Parent/Guardian address the same as the student's address?

YesNo
Second Parent/Guardian Address

Street Address

Street Address Line 2

CityState

Zip Code
If you encounter any issues filling out the 2025 Program Waitlist Application, please call (202) 738-1115 for assistance.

Payer Information
Is the Payer information the same as the Parent/Guardian information provided?

YesNo
Payer First Name*
Payer Last Name*
Payer Email*
example@example.com
Payer Phone Number*
Please continue on to the next page to make a $50 deposit and secure your spot on the waitlist.

If you encounter any issues filling out the 2025 Program Waitlist Application, please call (202) 738-1115 for assistance.

Waitlist Deposit
Review our cancellation and refund policies here.
To finalize your spot on the waitlist, you must submit a $50 deposit and select your preferred payment method. Please use payment information of the person who will be responsible for tuition payments. Payments will not begin until you have officially been moved off the waitlist.

As soon as a spot in a selected program becomes available, our Director of Finance, Blake Spreeman, will reach out to you regarding the finalized payment details.

If a spot does not become available by July 15th, 2025, your $50 deposit will be refunded in full
Leadership Initiatives offers a variety of flexible options to pay for program tuition. These payment options range from paying in full at the time of enrollment to a nine-month, zero-interest payment plan. Below are all payment options.

Pay in full: Program participants can opt to pay 100% of the tuition cost in one single payment at the time of enrolling. The tuition amount is typically charged within 72 hours of enrollment. A $150 tuition discount is applied for participants who opt to pay in full.

Payment Plans: Program participants can also pay for tuition in zero-interest monthly payments. These payment plans allow participants to pay in evenly-distributed payments over an agreed period of time. LI's payment plans are not a loan from a financial institution or bank but do require the completion of a repayment agreement. Three month payment plans are available. Participants can opt to pay the entirety of their remaining tuition balance off at any point during the payment period.
Payment Discounts

Payment Method

- Pay in full: Receive an additional $150 off the program tuition

- 3-Month Payment Plan: no additional discount
What type of payment plan would you like?*

Pay in fullMonthly Payment Plan
Please select a payment plan:*

3 Months

If you encounter any issues filling out the 2025 Program Waitlist Application, please call (202) 738-1115 for assistance.
Program Cost(Coding)
Scholarship Code Discount(Coding)
Payment Method Discount {Coding}
Enrollment Date Discount (Coding)
Months (Coding)
Monthly Amount (Coding)
Donation (Coding)
Start Date (Coding)
Total Tuition (Coding)
Should be Empty:

2025 Summer Program Waitlist Application

Student Information

Student's School Information

Program Selection

Parent/Guardian Information

Payer Information

Waitlist Deposit