2021 RMYLF Application

2021 APPLICATION FOR SCHOLARSHIP

You have been nominated for attendance at the 28th annual Rocky Mountain Youth Leadership Conference (RMYLC), June 21-25, 2021 at Colorado State University–Pueblo. 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 selecting the best attendees.

For additional information about the conference , see also the Student Fact Sheet available from your high school point of contact (HSPOC). Each school has one HSPOC.

This application must be completed not later than April 23, 2021. Applicants will be notified by email of their acceptance on or about May 1, 2021.

PLEASE NOTE:
The RMYLF uses EMAIL as the primary mechanism to disseminate information about application, acceptance, enrollment, and registration for the RMYLC.
Students and parents are encouraged to monitor regularly the EMAIL they use for this application.
Students are advised to use an EMAIL they can monitor after school is out for the summer (personal , not school).

Please answer all questions carefully and accurately. Please do not use ALLCAPS. Follow the format prescribed.
Email address *
Student First Name *
Student Middle Initial
Please enter only one initial without punctuation. If no middle name, leave blank
Student Last Name *
Street Address *
City *
Zip *
Student Phone Number *
Recommend CELL phone. Must use the following format: 555-123-4567
Parent/Guardian Last Name *
24/7 Contact Person for Student
Parent/Guardian First Name *
First and Last Name
Parent/Guardian Relationship *
Parent/Guardian Home Phone Number *
Please use the following format: 555-123-4567
Parent/Guardian Cell Phone Number
24/7 number for parent/guardian listed. Please use the following format: 555-123-4567
Parent/Guardian Email Address *
DO NOT enter student email address
Gender *
Name of High School *
If "Other" Above, High School Name
School name only, without text "High School" (e.g. "Woodrow Wilson" NOT "Woodrow Wilson High School")
Grade Completed as of 15 June 2021 *
High School Point of Contact Full Name *
First and Last Name with Title (e.g. Mr. Thomas Smith, Maj William Jones)
High School Point of Contact Email Address *
High School Point of Contact Phone Number *
Must use the following format: 555-123-4567
JROTC Member? *
Community/School/Church Involvement *
Please list your activities (ex. Yearbook Editor, Junior Class secretary, National Honor Society, varsity sport captain, hospital volunteer; church youth group leader; club officer, etc.), separated by commas. 300 characters or less.
A copy of your responses will be emailed to the address you provided.
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