Apply for Youth Leadership

Fond du Lac:

Applications for the 2022-2023 school year will open soon!

Sophia believes leadership has the transformative power to create positive change in the world. By providing youth with vital community-based leadership experiences, they will better understand their community, how it works, its needs, and be part of co-creating solutions.

Youth Leadership Fond du Lac prepares the next generation of leaders by:

Developing leadership skills
Learning how to work closely with others
Sharing ideas; influencing change

2022-2023 Youth Leadership Fond du Lac (YLF) Application

This application is used by students who are being recommended to participate in Youth Leadership Fond du Lac 2022-2023. The deadline to complete the application is 3:00 pm on June 3, 2022.

Student Name*
YLF Applicant First Name YLF Applicant Last Name
Address*
Street Address City State / Province / Region ZIP / Postal Code
YLF Applicant Email*
YLF Applicant Preferred Phone*
Parent Guardian name*
Parent/Guardian First Name Parent/Guardian Last Name
Parent/Guardian Preferred Phone Number*
Parent/Guardian Email
Parent/Guardian Address (if different)
Street Address City State / Province / Region ZIP / Postal Code
Name of High School*
Educational areas of interest
Career Interests
Extracurricular school activities (sports, clubs, etc) (include years involved if applicable)
Hobbies and volunteer activities (include years involved if applicable)
Awards and recognition received
Why do you want to participate in the Youth Leadership Fond du Lac program?
Do you believe that your future depends on what you know or who you know? Why?
List three things that you want to change about your community. Why?
Share an experience that you’ve had in your life that has helped you see the importance of acknowledging and celebrating diversity.
Why is it important you be selected for Youth Leadership Fond du Lac?
Emergency Contact (1) Name*
Emergency Contact (1) First Name Emergency Contact (1) Last Name
Emergency Contact (1) Phone*
Emergency Contact (2) First Name Emergency Contact (2) Last Name
Emergency Contact (2) Phone
List any medical concerns such as allergies, etc.*
Zero-Tolerance Policy*
The Youth Leadership Fond du Lac (YLF) Program is committed to providing a safe learning experience for its participants and adheres to a zero-tolerance policy for substance abuse.

Should a school official, law enforcement agency or Youth Leadership Program authority suspect a Youth Leadership participant of illegal or illicit drug use, possession, or association, he/she will be subject to disciplinary action. This action may include a meeting with the participant, parents, and school officials. Dismissal from the Youth Leadership Program may occur.

Any behavior that leads to the possibility of a citation for underage drinking, driving under the influence and other alcohol-related offenses may result in dismissal from the Youth Leadership Program.

Any behavior that leads to a student being expelled from school will result in dismissal from the program.

I, the Youth Leadership Fond du Lac Applicant, acknowledge that I have received and read the above drug, alcohol, and expulsion policy and that I agree to abide by its terms. I acknowledge that it is my responsibility to inform the Youth Leadership Fond du Lac Coordinator should any of the above situations occur.
Check here to indicate that you have read and agree to the zero-tolerance policy.
Student Signature*
Comments
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