Welcome!
Join our Youth Development Initiative (YDI) Summer Program! Build confidence, learn new skills, connect with culture, and gain real-world experience.
PROGRAM HIGHLIGHTS
Paid Opportunity
Cultural Learning
Mentorship & Leadership
Community Engagement
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BASIC INFORMATION
About You
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Please Select
13
14
15
16
17
18
19
20
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email (optional)
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School
*
Please Select
Standing Rock Community School
Fort Yates Public School
Solen Public School
Selfridge Public School
McLaughlin Public School
Wakpala High School
Homeschool
Sitting Bull College
N/A
Current Grade / Year (Fall 2026)
*
Please Select
8th
9th
10th
11th
12th
First-Year College
Second-Year College
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PROGRAM TRACK
What Role Will You Be Applying For?
Program Role
*
Youth Mentee (Ages 13-16)
Youth Mentor (Ages 17-20)
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INTEREST & MOTIVATION
Tell Us About You
Why do you want to join this program?
*
What are 2-3 goals you have for this summer?
*
What strengths do you have?
*
Leadership
Teamwork
Communication
Cultural Knowledge
Creativity
Responsibility
Other
What would you like to improve or learn?
*
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MENTOR SECTION
Complete the following:
Why do you want to be a mentor?
*
What experience do you have working with younger youth?
*
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AVAILABILITY & COMMITMENT
Your Commitment
Available June 1 - August 12?
*
Yes
No
Can attend Tuesday - Thursday weekly?
*
Yes
No
Do you have reliable transportation to and from the program?
*
Yes
No
If no, are you able to commit to using Standing Rock Transit to travel to Fort Yates and return home?
*
Yes
No
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SUPPORT & NEEDS
How Can We Support You?
Areas of Support
Transportation (SR Transit)
Work Schedule
None
Other
How can we support you in this program?
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EMERGENCY CONTACT
Parent / Guardian Name
*
First Name
Last Name
Phone Number (Best Reached)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
Please Select
Mother
Father
Grandmother
Grandfather
Aunt
Uncle
Legal Guardian
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AGREEMENT & SIGNATURE
I understand this program requires commitment, participation, and respectful behavior. If selected, I agree to follow all expectations.
Youth Signature
*
Parent / Guardian Signature (If Under 18)
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Thank you for applying!
You will be contacted regarding acceptance and next steps before / by May 22, 2026.
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