Clone of YLF 2025 Delegate Contact and Medical Information Form
Language
  • English (US)
  • Spanish (Latin America)

  • July 7-11, 2026 - Tallahassee, FL

  • Calling All Leaders!

    If you are an energetic, motivated, and driven person with a disability between the ages of 15-21 the Forum may be for you!

  • What is the Florida Youth Leadership Forum?

    The Youth Leadership Forum for Students with Disabilities (YLF) is a unique leadership- training program for students with disabilities. Students will represent their communities as delegates in Florida’s state capital, learning to cultivate leadership, citizenship, and social skills.

  • What Kinds of Activities Will I Participate in?

  • YLF delegates will learn how laws are made and how to successfully advocate for new laws. They will visit the state Capitol, meet legislators, and participate in a mock legislative session.

    YLF delegates will learn what it means to be a leader and discover new ways to increase their leadership abilities. Each delegate will develop a “Personal Leadership Plan”, which provides an individual action plan so students can begin using new skills to advocate for themselves and others.

    YLF delegates will improve their self-advocacy skills by learning about the history of the disability movement, how to increase disability awareness, and how to access community resources that can lead to independence.

    YLF delegates will learn transition skills and explore careers in various disciplines.

    YLF delegates will have fun! Delegates will participate in group activities that allow students with different abilities to network and develop new relationships.

    YLF delegates will be required to attend one (1) one-hour virtual meeting to prepare for the Forum in early July.

  • Who May Apply?

  • Florida students aged 15-21 that are currently enrolled in a high school education program (public, private, virtual, GED, homeschool) or post-secondary school (trade, college or university) are invited to apply. Each student must have a diagnosed disability at the time of application. We are a cross-disability organization and we welcome applications from individuals with any type of disability.

    Applicants should be able to demonstrate their leadership potential through participation in school, extracurricular activities and/or community involvement.

    Applicants must have the ability to interact effectively with other students, adapt to new surroundings, follow an intense schedule of daily activities, and demonstrate a willingness to participate in small and large group discussions.

    Selected applicants must show proof of health insurance (private insurance, year-round school insurance, Cover Florida, KidCare or Medicaid are acceptable).

  • Where Do We Stay?

  • The 2026 Youth Leadership Forum will take place on campus at Florida State University. Delegates and staff will be housed in double occupancy rooms in university dorms. There is no registration fee. Housing and meal costs will be covered by YLF. Transportation assistance is also available.

  • INSTRUCTIONS TO COMPLETE APPLICATION:

  • •     Please read all instructions and fill out the entire application.

    •     Answers may be dictated to a parent, guardian, or other scribe; however, the content must be the work of the student.

    •     Application deadline is Wednesday, April 15, 2026.

    •     Applications after that date may be considered on a space available basis.

     

    Questions? Please email Sarah Goldman- sarah@floridasilc.org

  • Delegate Information

  • Format: (000) 000-0000.
  • How did you hear about YLF? (Check all that apply)*

  • Disability Information:

    Please check ALL that apply. If the disability category does not apply to you, select N/A.
  • Auditory*
  • Visual*
  • Cognitive/Learning*
  • Physical*
  • Mental Health*
  • Chronic Illness*
  • Do you have seizures?*

  • Accommodation Information

    All settings at YLF will be accessible, but please check any accommodations below that are necessary for you to fully participate in YLF.
  • Check all that apply:*
  • We encourage participants to bring their own durable medical equipment, as equipment on site may be difficult to secure. Please select any equipment or mobility devices you will bring:*

  • Florida YLF requires long distance walking across the FSU campus. Accommodations can be made if necessary.

  • I am able to walk long distances unassisted.*
  • I can navigate stairs.*
  • I am requesting a sighted guide for navigating the campus.*

  • Personal Care Assistance (PCA)

    FILC will provide PCAs to all students who require them. Parents may not serve as PCAs.
  • Will you need a personal care attendant?*
  • Do you need transfer assistance?
  • One person transfer?
  • Two person transfer?
  • Do you need bathroom and/or bowel and bladder program assistance?
  • Do you need bathing assistance?
  • Do you require meal or feeding assistance?
  • Do you need assistance with getting dressed?

  • School Information

  • School and Community Involvement

    Please list school, volunteer, religious, social, athletic, or other activities or organizations in which you have participated during the last two years. 

  • Employment & Volunteer Information:

  • Do you currently have a job?*
  • Can you make arrangements with your employer to attend YLF?*

  • Travel Arrangements Form

    (Bus reservations will be made by FILC)
  • Transportation Selection:*

  • Short Answer Questions:

    *Submissions can be written, audio or video recorded. If an alternative format is needed, please email answers to sarah@floridasilc.org

  • By signing below, I agree that if I am selected for the 2026 YLF:

    • I may be referred to other agencies that can provide financial support for my participation in this event.

     

    • I will be expected to remain for the duration of the Forum. Participating in just a portion of the program is not permitted.

     

    • I will attend the one virtual meeting prior to the YLF.

     

    • If I need reasonable accommodations to complete forms or to participate in the program they will be provided, but it is my responsibility to request those accommodations and to communicate my needs fully in my application. 

     

    I have read the information regarding the Florida Youth Leadership Forum and its requirements and confirm that the information I have provided on this application to FILC is true.

    We have provided two options for signing documents. The boxes for electronic signatures can be used with your mouse (on desktop) or with your finger/smart pencil on your phone or tablet. To ensure accessibility, you can also type your signature instead.

  • Date*
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