Affirmations LGBT Center · Youth Leadership and Development Program

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Youth Leadership and Development Program

The program is a 16 Week (March 1, 2021 - June 15, 2021) program focused on building LGBTQ+ and Ally leaders from ages 12-22 in metro Detroit. Topics discussed will surround LGBTQ Youth Advocacy and Career Development Skills.

The program begins virtually on Monday, March 1, and will have two Zoom meetings per week from 4:30-6:30 pm on Mondays and Tuesdays.

There will be learning modules in addition to the virtual meetings that can be completed in one's own time. Youth in the program will also be asked to help plan a day-long, virtual retreat that will be hosted in June as part of their hands-on learning project. In the event that COVID restrictions are lifted, this portion of the program can be adjusted accordingly.

Youth will receive monthly personal stipends for their participation in the form of gift cards, the process to receive these will be covered in the first week of the program.

Please complete and submit the application by Monday, February 8, 2021.

Contact Information

Pronouns:

Gender Identity:

Preferred Name

First Name

Last Name

Legal Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Primary Phone:

Please only give a number that you feel comfortable with us calling. If you do not have a phone number that we can call please have an email address.

Parent/Guardian primary phone number AND email (If under the age of 18):

Age:

(12-22 Only)

Race:

Grade:

School:

Year Completed School, Diploma, or GED:

List any specific topics you would like to cover within Youth Development?

This can be anything relating to personal development, career development, or general knowledge you wish to gain.

How did you hear about Affirmations’ Youth Programs?

What other activities, if any, are you involved in?

Please include days and times of those activities.