Youth Leadership Interest Form
26 students from Greeneville and Greene County will be selected to participate in Youth Leadership for 2026-2027. After completing this form, you will be contacted for a group interview. Students unable to attend the group interview will not move forward in the process. Priority will be given to rising Seniors applying, but the program can include rising Juniors and rising Seniors. For more details or any questions, please contact JB Miller at jb@greenecountypartnership.net or stopping by the Greene County Partnership at 115 Academy Street, Greeneville, TN. All interest forms must be completed by 5:00 PM on Friday, May 1, 2026.
Personal Information
Full Name
*
First Name
Middle Name
Last Name
Age
*
Sex
*
Please Select
Male
Female
Grade
*
Please Select
Current Sophomore
Current Junior
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail (Not your school email)
*
example@example.com
Your Parent/Guardian's Email
*
example@example.com
What is your t-shirt size?
*
Small
Medium
Large
XL
XXL
XXXL
Questions and Details
Describe yourself in few words, including your interests and hobbies.
*
Please share your involvements in your school and community (clubs, band, church, groups, teams, etc.)
*
What is your current GPA?
*
Why do you want to participate in Youth Leadership?
*
Are you currently in GCP Youth Volunteers (formerly known as Youth Council)?
*
This program will require you to miss school the first Friday of each month, and you will be required to communicate this with your teachers and complete any missed work. You will be excused from one missed learning day, but if you miss more than one, you will meet with me to determine whether or not you should continue the program and will be required to make up the missed meeting time. Do you understand?
*
All participants will be required to pay the fee of $150. This fee covers the cost of supplies, the t-shirt, monthly lunches, the bus to Nashville, and all activities during our time together. If needed, we can work out a payment plan. Do you understand?
Anything else you want to add?
Date
*
-
Month
-
Day
Year
Date
Submit
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