YETI 2027 ATTENDANCE Nebraska YOUTH INTEREST FORM

YETI ATTENDANCE YOUTH INTEREST FORM

Nebraska Chapter National Bleeding Disorders Foundation
YETI Conference 2027 (Youth Effectively Transitioning to Independence), hosted by Pacific Northwest Bleeding Disorders at Camp Collins in Gresham, Oregon, has announced their dates for 2027, Feb 18th to Feb 21st.

There is only one eligible youth/YA spot from our NE Chapter available. We will making our decision by November 30th.

The selected teen will join the teens of Oregon for a fun-filled weekend! It is preferred that the participating teen be a emerging or prominent leader in the local organization and be willing to contribute to the design and creation of teen programs in the future.

More information about the YETI program here.

If you would like to be considered to attend, please fill out the interest form below. Please note, to be eligible, the teen/young adult must be Ages 14-20 (not yet 21) at time of the conference and must be available to travel by plane to attend the entire conference from February 18th to February 21st with a member of the NBDF NE Chapter staff.

Preference is given to teens with a history of involvement with the Nebraska Chapter.

Upon selection, we will email both adult and youth/young adult to confirm and share further registration details.

Any questions, contact Jacob Murdock at jmurdock@bleeding.org
1. Full Name of Applicant
2. Age of Applicant at time of Conference (Feb. 18-21, 2027)
What is applicant's relationship to the bleeding disorder's community?
4. Best Point of Contact Email for Applicant
all communication will always be in partnership with parent/guardian
7. Applicant's Phone number

Area CodePhone Number
5. Best Point of Contact Email for Parent/Guardian
all communication will always be in partnership with parent/guardian
8. Parent/Guardian Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
To be completed by applicant:

Our applicant decision process is based on the applicant's responses. Help us learn more about your interest in attending by completing the following prompts.
Have you attended YETI before?
10. If you have attended YETI before, tell us about your experience. 1)When you attended. 2) What was the most valuable thing about it? 3) What were you able to contribute to your community?
If you have not attended type N/A
11. Tell us about the applicant's history with the bleeding disorders community in regard to involvement, events, camp, or groups.
12. Tell us why you would be a good candidate to be considered for YETI 2027?
13. What will you seek to gain from this type of experience? How will it help you?
14. How will you use this opportunity to support other youth in the bleeding disorders community?
15. Is there anything more you'd like us to know about you?
Please type N/A if there if you have nothing more to add.
Should be Empty:

YETI ATTENDANCE YOUTH INTEREST FORM

To be completed by applicant: