2019 Y-Corps Application
The general deadline is February 9th, 2019. Late applications may not be considered. Service Hours and Fundraising may be started as soon as the application is submitted, but are not due until June 30, 20188.

The trip will be a Sunday to Saturday in late July or Early August. The dates will be determined based on applicants availability and other factors, but will be announced by February.

Y-Corps program requirements:

1) Application: Submit complete and on-time application

2) Service: Complete and report a minimum of 50 hours of community service between the time of your application and June..

3) Fundraising: Each student selected for the Y-Corps program is expected to meet a fundraising minimum target of $500. All fundraising will be directed to the YMCA Youth And Government Scholarship Fund for their state's program. Fundraising should take place between the time of your application and July 1st, 2019. **All donations are non-refundable**

4) Training: Materials will be provided for training, but Y-Corps members will be expected to check in regularly with their team leads. Videos will be provided with training information, and all team members will be expected to attend at least one video chat on the topic, at times to be deteremined..

All questions should be directed to Drew Caldwell at dcaldwell@ymcanys.org or Greg Rudder at Greg@ymcapa.org

First Name *
Your answer
Last Name *
Your answer
By writing my name in the box below, I commit to meeting all of these conditions if accepted to Y-Corps and will strive to meet my goals to be a part of the Y-Corps. *
Your answer
Date conflicts or potential issues I may have that I want to warn you about are: *
If you do not have any conflicts or potential issues, put "None"
Your answer
Email Address *
Your Email Address - Must be one you check regularly
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Gender *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Emergency Contact
Your answer
Parent/Guardian Phone *
Where parents/guardian can readily be reached
Your answer
Parent/Guardian Email Address *
Where parents/guardian can readily be emailed
Your answer
Your Cell Phone # *
If you do not have one, please put your home phone.
Your answer
School Name *
for the 2017-18 School Year
Your answer
Grade Level *
for 2017-18 School Year
Dietary Needs/Restrictions *
This question has no bearing on team selection.
Please list any known allergies or medical concerns *
This question has no bearing on team selection.
Your answer
Shirt Size *
This question has no bearing on team selection.
Personal Essays
We recommend that you first type your essays in a file you can save on your computer. This way you won't lose your work if you have a problem with your internet connection.
Describe your definition of community, and the importance it plays in our lives. *
200 words or less
Your answer
In your own words, describe someone who you consider a "servant leader" and why. *
200 words or less
Your answer
Explain how your experiences with the Y have shaped your beliefs about why community service and engagement are important. Imagine you are persuading someone to be part of the Y's efforts to serve their community. *
500 words or less
Your answer
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This form was created inside of Kentucky YMCA Youth Association.