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16th Annual Leslie Campbell Black Youth Leadership Conference 2019 (BYLC)
African Diaspora Cultivating Education (ACE) is excited to invite you to apply as a participant of the 16th Annual Leslie Campbell Black Youth Leadership Conference hosted at University of California, Davis!

This year theme is, "BLACK: Blossoming, Learning, and Advancing with Confidence and Knowledge"

The Leslie Campbell Black Youth Leadership Conference is a two-day, one-night weekend youth conference put on by ACE of the Student Recruitment and Retention Center (SRRC) at UC Davis for students who identify as black, African American, African or part of the African Diaspora.

The purpose of this conference is to introduce, prepare and engage local high school students of the diaspora to the power of higher education and ultimately offer a first hand experience of organized community and individual growth and development. We aspire for students to develop a sense of self and construct a positive identity revolving around their blackness, “race,” and “gender” through empowerment and intentional reflection. During this weekend, students will be exposed to workshops around identity, scholarship, achievement and contemporary issues within the Black community. The conference will provide powerful, reflective, and affirming spaces to inspire the youth. Students will be mentored by other black college students throughout the weekend to create community in an educational space.

This year's theme is "BLACK: Blossoming, Learning, and Advancing with Confidence and Knowledge." Our theme is centered around the idea that while individuals may desire similar outcomes and require similar resources, the process of growth and development looks different for each person. When considering each individual's process academically, but more importantly holistically, it's important to be intentional about our blossoming process in order to be fruitful and productive and achieve their unique success.
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Who: High school students who identify as black, African American, African, or within the African diaspora. (Other students are welcome but it is a black diaspora conference)
When: Friday, April 19th, 2019 5pm - Saturday, April 20th, 2019 9pm
Where: UC Davis
FREE EVENT - ALL EXPENSES PAID by the Student Recruitment and Retention Center

Complete application DUE Thursday April 18th, 2019 at 11:59pm

***If you have problems submitting the application or you have any questions/suggestions, please contact Maggie Njuguna at mmnjuguna@ucdavis.edu or (916) 290-2430

***YOU MUST PRINT THE THREE WAIVERS SIGNED BY YOURSELF AND YOUR PARENT/GUARDIAN. YOU MAY TURN IT IN ELECTRONICALLY TO mmnjuguna@ucdavis.edu or PHYSICALLY UPON REGISTRATION/CHECK-IN AT BYLC.

In order to go you MUST SUBMIT 3 FORMS
Waiver Links:
Parent Authorization/Guardian
https://drive.google.com/a/ucdavis.edu/file/d/0B6chuStuE0vrR1JpdVJ3YlFsNkE/view?usp=sharing

Statement of Agreement-Student Expectations
https://drive.google.com/a/ucdavis.edu/file/d/0B6chuStuE0vrUnNQdEdmeTMyU1U/view?usp=sharing

UCD Waiver Liability
https://drive.google.com/a/ucdavis.edu/file/d/0B6chuStuE0vrZEc4Z1RobENJX3M/view?usp=sharing

Email address *
Participant Information:
Your answer
First Name *
Your answer
Last Name *
Your answer
Grade *
School Name *
Your answer
Phone Number *
Students Cell Number Preferred
Your answer
Email Address *
Conference Information will be sent to this emaill. If you don't have an email, please put down the name of someone who can receive emails on your behalf AND their email.
Your answer
Gender (for rooming purposes) *
Hometown *
Your answer
Emergency Information:
Emergency Contact #1- Name *
Your answer
Emergency Contact #1 Relationship to Student *
Parent, Guardian, Sibling, Friend
Your answer
Emergency Contact #1- Phone Number *
Your answer
Emergency Contact #2- Name *
Your answer
Emergency Contact #2 Relationship to Student *
Parent, Guardian, Sibling, Friend
Your answer
Emergency Contact #2 Phone Number *
Your answer
Responses:
Please tell us a little bit about yourself! What are your interests, hobbies, the community you come from etc.? *
Your answer
Do you want to attend college at some point? Why or why not? *
ex: community college or 4 year University.
Your answer
What does it mean to you to be Black, African American, have African Descent, or be a member of the African Diaspora? If you don’t identify with being of African Descent, what do you identify as and what does it mean to you? *
Definition of African Diaspora: Peoples, and communities throughout the world that come from the historic movement of people from Africa
Your answer
Why would you like attend BYLC?
Your answer
What skills are you looking to gain? What would you like to see at the conference and learn about? *
For example: college, culture, tours, anything
Your answer
Have you attended or heard about Black Youth Leadership Conference before this application? *
Are you interested in performing for the Open Mic on Friday, April 19th, 2019? *
Dance, Sing, Rap, Play Instrument, poetry etc.
Dietary Needs *
Are there any health related issues or concerns we should be aware of? Such things include medical conditions, disability any other circumstances that may require special accommodations. Please list them below.
Ex. disability, asthma, allergies. If you have none write N/A
Your answer
T-Shirt Size *
Will you be able to get to a TBD centralized Sacramento location for pick-up on Friday April 19th, 2019 before 5pm? *
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