Triangle Youth Leadership Conference 2018 Application
The following is an application for the 2018 TYLC hosted at NC State from 1/26/18 - 1/27/18.
First Name *
Your answer
Last Name *
Your answer
For conference housing purposes, please provide your gender. *
For conference housing purposes, please indicate any special needs or accommodations you may require.
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
Parent or Guardian First and Last Name *
Your answer
Parent or Guardian Email Address *
Your answer
Parent or Guardian Phone Number *
Your answer
Name of High School *
Your answer
High School Counselor Email Address *
Your answer
High School Location (City, State) *
Your answer
Current Year in High School *
What do you hope to learn from this conference? (approximately 250 words) *
Your answer
Tell us about a time when you experienced failure and how you learned from it. (approximately 250 words) *
Your answer
Tell us what you admire about your community, a major challenge/problem in your community, and a potential solution to this challenge/problem. (approximately 250 words) *
Your answer
What does leadership mean to you? Give an example of how you were/are a leader in your community. (approximately 250 words) *
Your answer
Please provide a personal statement (approximately 250 words). *
Your answer
Please check the box below if you would like to receive information about conference scholarships (if accepted)
By checking the box below, you confirm that the above information was completed honestly and accurately by the student applicant. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University. Report Abuse - Terms of Service - Additional Terms