2024 RYLA District 7410  Application                                 Conference Dates: June 23rd to 27th 2024
Rotary Youth Leadership Award Conference is held each year at Keystone College in Northeastern PA.  It is a 5 day, 4 night  leadership program for high school sophomores who have shown leadership potential in their home, school, and community.  The conference is designed to introduce participants to thoughts and ideas which will strengthen and develop their leadership skills.  It also provides an environment where participants may discuss and exchange their ideas with other students from NEPA.  

                                                            Leadership Program
1. Personal Assessment                                                       8.  Negotiating
2. Personal Goal Setting                                                       9.  Setting Priorities
3. Time Management                                                           10.  Delegating
4.  Communication and Listening                                      11.  Interpersonal Relationships
5.  Speaking in Public                                                           12.  Team Building
6.  Leadership Skills                                                             13.  Brain Storming
7.  Problem Solving/ Decision Making                              14.  The Responsibility of Leadership

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                                                           Additional RYLA Program Information
We follow the latest guidelines from the CDC, Keystone College and Rotary District 7410 with regards to COVID 19 protocol.

                           

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TEAM PROJECTS: Each student will be a member of a team during the conference.  Each team works on a project that is
a hands-on experience with student planning, implementation and evaluation.

SMALL GROUP ACTIVITIES: Discussion groups are held to share and explore ideas which result from each day's programs.

SOCIAL LIFE:  There is time in the program for organized sports, dancing, and other activities  to develop lasting friendships with other participants and staff.

The applicant must:

1.  Be a sophomore ready to enter his or her junior year in the fall.
2.  Have shown leadership potential in home, school, and community.
3.  Demonstrate qualities of a good student.
4.  Submit a completed application.
5.  Be selected  and sponsored by their local Rotary Club (RYLA is 100% FREE to conferee's)
6.  Be accepted by the District RYLA Committee

Once you have completed this form, it will be submitted to your local Rotary Club for review.  Clubs decide
on who will be accepted.  If you are chosen, you will be emailed a medical form that must be signed by a doctor or school nurse and returned to the RYLA registrar.    You will also then receive additional information regarding the conference.

PLEASE FILL OUT AND SUBMIT THIS FORM NO LATER THAN April 20th  2024.  By doing so you agree if selected to
make this RYLA Conference June 23rd to 27th a priority! Only 80 applicants will be accepted this year.  It is at NO financial cost to you, but the Rotary Club sponsoring you is responsible for the cost even if you cancel at the last minute.  
ANY APPLICATION SUBMITTED AFTER APRIL 20th  WILL BE ADDED TO A WAITING LIST. PLEASE SPEAK WITH YOUR SPONSORING ROTARY CLUB ASAP if your plans change.  
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Email *
Students Email Address / NON SCHOOL (Very Important) *
First Name *
Last Name *
Nickname if you prefer
Students home address including city and zip code *
Student cell phone number.  You will be contacted by phone. xxx-xxx-xxxx *
Gender  We do sleep in dorms with 2 students to a room and divided by floors.  If Non Binary is chosen you will receive a call with regards to room choice.  The final decision will be left to the RYLA Chair.  There are NO single rooms. *
T shirt size *
Name of your High School attending or Home School *
Birthdate  (Must be a sophomore) *
Primary Parent/Guardian Name *
Primary Parent/Guardian Contact Phone Number (Please provide the best number to reach you including off hours and weekends) *
Primary Parent/Guardian email (This will be used for all confirmations and planning details if students email is NOT provided) *
Secondary Parent/Guardian Name
Secondary Parent/ Guardian Contact Phone Number
Secondary Parent/Guardian email
Sponsoring Rotary Club  (You must be sponsored by a Rotary club to attend RYLA) *
By submitting this application to attend RYLA 2024 WE understand the following, acceptance to be a participant in the Rotary Youth Leadership Conference of District 7410 I will attend the entire event dated June 23rd to 27th.  I also understand that participation may be terminated for inappropriate behavior, a violation of conference rules, or possession of any property that is not permitted.  Type your full name as an e-signature, both parent and student are required. *
Please share any information about significant past medical, emotional, or surgical conditions.  Also, please specify if you take any medications, have allergies, or have any dietary restrictions.  Keystone College has a professional dining service company that can accommodate most dietary needs for students who have special requirements.  Any applicant with medical or dietary needs will receive a phone call from the registrar.  A formal medical form will be sent at a later date and must be signed and returned. *
Following confirmation of attendance, I will respond promptly to email communication from the RYLA coordinator including submission on any additional required forms. Student type your name as an e-signature. *
RYLA 7410 takes photographs and/or video recordings of attendees in action during the day to day activities and special events.  These Photographs/Videos maybe used on the website, on social media, in newsletters, and other publications. I, being parent/guardian of applicant, authorize Rotary District 7410 to use this minors likeness, including pictures and name, for future promotion and informational materials about RYLA and Rotary Youth Programs. Parent/Guardian full name as e-signature. *
I, being parent/guardian of applicant, hereby consent that my child/ward may use computers which have Internet access during the RYLA Conference. Parent/Guardian full name as e-signature. *
Participant Team Interest Indicator              Each RYLA participant is a member of a Team.  Each Team plans and carries out a project during the week.  Indicate the type of activity you would enjoy most by numbering the activities below in order of your preference.  Number your top 4 choices ONLY. Column 1 is your first preference, Column 2 is your second, etc.                          
Column 1
Column 2
Column 3
Column 4
ART
BAND/CHORUS
CREATIVE ATHLETICS
DRAMA
ENGINEERING
GRADUATION
MEDIA
NEWSPAPER
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What would you say is your favorite quality or characteristic about yourself? *
What do you think is the most important thing a leader does? *
Please list any activities you are involved with and any leadership roles you hold. *
Please write a brief biography of yourself.  Tell us a little about you: Hobbies, activities, favorite teams, quotes... whatever you want to share with the Rotarians.  Please limit the bio to 100 words maximum. *
ANY APPLICATION SUBMITTED AFTER APRIL 20th WILL BE ADDED TO A WAITING LIST. PLEASE SPEAK WITH YOUR SPONSORING ROTARY CLUB.
A copy of your responses will be emailed to the address you provided.
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