Triangle Youth Leadership Conference 2019 Application
The following is an application for the 2019 TYLC hosted at NC State from 2/8/19 - 2/9/19.
First Name *
Your answer
Last Name *
Your answer
For conference housing purposes, please provide your gender. *
For conference housing purposes, please indicate any special needs or accommodations you may require.
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
Parent or Guardian First and Last Name *
Your answer
Parent or Guardian Email Address *
Your answer
Parent or Guardian Phone Number *
Your answer
Name of High School *
Your answer
High School Counselor Email Address *
Your answer
High School Location (City, State) *
Your answer
Current Year in High School *
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