Rocky Mountain Youth Leadership Foundation

2019 APPLICATION FOR SCHOLARSHIP

Your school has recommended you for attendance at the xxth annual Rocky Mountain Youth Leadership Conference (RMYLC), DATE/YEAR at the University of Colorado –Colorado Springs. The Rocky Mountain Youth Leadership Foundation will award up to 99 full scholarships covering all student expenses except transportation to and from the conference. This application will assist the foundation in determining who the best attendees are and help build an attendee database.

For additional information about the conference , see also the Student Fact Sheet available from your high school point of contact.

This application must be completed by DATE. Applicants will be notified of their acceptance NLT DATE.

Please answer all questions carefully and accurately. Do not use all capital letters.

Email address *
Attendee First Name *
Your answer
Attendee Last Name *
Your answer
Nickname
Leave blank if none.
Your answer
Street Address *
Your answer
City *
Your answer
Postal Zip Code *
Your answer
Applicant Phone Number *
Please use the following format: (555) 123-4567
Your answer
Parent Phone Number *
Please use the following format: (555) 123-4567
Your answer
Parent e-mail address *
Your answer
Gender *
Name of High School *
Do not include "High School" in your answer. For example, Rampart H.S. would just be Rampart.
Your answer
Current Grade *
High School Point of Contact Name *
Your answer
High School Point of Contact Phone Number *
Please use the following format: (555) 123-4567
Your answer
JROTC Member? *
School-Community-Church Involvement *
Please outline your activities (ex. Yearbook Editor, Junior Class secretary, NHS, varsity sport captain, hospital volunteer; church youth group leader; etc.) Keep your response to less than 200 characters.
Your answer
Submit
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This form was created inside of Lewisville ISD.