Drive the Focus - Program Registration
Drive the Focus is a program that was created by Northern Lights Youth Services to mobilize youth on traffic safety related issues and inform their communities while enhancing their leadership, organizational, public speaking skills and more.

In order to participate in this program, please fill out this quick survey so that Northern Lights Youth Services can track progress and use this research to advance the organization's future funding opportunities. Your first and last name nor E-mail address WILL NOT be given out. If you are doing this program with your chapter/with a group, only have one individual submit the program registration - they will act as the primary contact.

Thank you!

State
City
Your answer
School
Your answer
How many members are in your group/chapter
Your answer
What is the time frame of this program? When are you hoping to start the training and complete the event? (i.e. Training on September 1st, event on October 16th)
Your answer
What is the enrollment of your current school?
Your answer
Are you participating in this program as a...
Contact Person's Name
Your answer
Contact Person's E-mail Address
Your answer
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