Registration Form for Youth Legislative Development Conference

YLDC Nomination Registration Form for Students & Chaperones

Please complete all sections to register. If registering as a student, please upload your letter of recommendation and essay as PDFs. GSACS reviews submissions and sends to the American Association of Christian Schools for consideration for scholarships and admissions to their Youth Legislative Development Conference held in Washington, D.C. each summer.
Are you registering as a Chaperone or a Student?*

ChaperoneStudent
Student Full Name*

First NameLast Name
Student Phone Number*
Please enter a valid phone number.
Student Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Student Email Address*
example@example.com
Gender*

MaleFemale
Age*
Birthday*

MonthDayYear
Date
Expected Graduation Date*

MonthDayYear
Date
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.
Chaperone Full Name*

First NameLast Name
Chaperone Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Chaperone Phone Number*
Please enter a valid phone number.
Chaperone Email Address*
example@example.com
School Name*
School Phone Number*
Please enter a valid phone number.
School Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Principal Name*

First NameLast Name
Pastor Name*

First NameLast Name
Upload Letter of Recommendation (PDF only)*

Go to www.aacs.org for instructions related to the letter of recommendation.
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Upload Essay Paragraph (PDF only)*

Go to www.aacs.org for instructions related to the essay paragraph required.
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YLDC Nomination Registration Form for Students & Chaperones