YLA Nomination Form
On behalf of Youth Leadership America, I am writing to enlist your help in becoming a nominator for our 2018 week long summer program. We are looking to put together a group of North Orange County’s most promising student leaders to connect with each other and learn about service oriented servant leadership from local business, nonprofit, and civic leaders. Our week long leadership development program for future community leaders is being offered to students by nomination only this year. They will have the opportunity to learn from dozens of mentors that are partners of our program.

We ask that you nominate up to 15 promising students: 5 freshmen, 5 sophomores, and 5 juniors for the program (you can nominate less than 5 students from each grade, but a maximum of five).

Please send your nominations by Tuesday May 1, 2018.

After we receive your nominations, we will reach out to your students with the application for the program.

What is your name? (nominator)
Your answer
What school/organization are you from?
Your answer
What is your position?
Your contact information (Email, Phone Number)
Your answer
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