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Youth Leadership Council (YLC) 2018-2019 Application

Upon completion of this application you will be contacted by a Y-WE staff member to set up an interview. All participants will be informed if they have been accepted to the YLC by Friday, September 14, 2018.

Youth Information
This form is for young women*, ages 13-18, who wish to enroll in the Youth Leadership Council (YLC). Please look over the application below and prepare to complete and submit it in one session. You WILL NOT be able to save the form mid-way through.
Y-WE Inclusion Policy
*Y-WE empowers people who identify as women, were socialized as women, or who were assigned female at birth. Gender nonconforming, gender non-binary, trans, intersex, and other gender variant participants are welcome."
Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Cell phone number is best
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(mm/dd/yyyy)


she/her, they/them, he/him, etc.



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Y-WE is dedicated to creating inclusive spaces and programs for all, including people with disabilities and specific accommodation needs.
Youth's Personal Information (to be completed by youth)
Your answers to these questions help us to get to know you better and understand what inspired you to apply to Y-WE. We shape our programs around the passions and goals of the young women who participate, so your answers to these questions really matter to us!
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Your Commitment to YLC:
The YLC is a program that requires a special commitment because you are seen as leaders within the Y-WE Community and must set a good example for other youth. This means communicating in advance if you have to be absent and not missing anymore than 3 meetings or program days throughout the year. If you miss our events regularly, without pre-approval from the program manager, we may ask you to leave the program and offer your spot to someone else who can fully take advantage of the opportunity.
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Parent/Guardian Contact Info (to be completed by parent/guardian)
Please fill this section out completely so that we can contact you about upcoming events and notify you if any emergency situation were to arise while this young person is at our program.
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

Medical Information
Your answers to these questions help us to assure participant health and safety in program activities
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Financial Contribution
Y-WE is available to any young woman who wants to participate, and no one will be turned away due to inability to pay. We ask each family/guardian to contribute what they can to Y-WE to help cover the costs of our program. Tuition is available on a sliding scale up to $1500 for food, lodging and transportation. Anything above this amount will be considered a donation. We are happy to work with participants and their families/guardians to ensure that our programs are affordable. Please indicate in the space below the amount that you would be able to contribute to the program. Upon acceptance, we will send out information on how to make your contribution.
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Please write a 3-4 sentence bio. If you are selected for YLC, your bio will appear on the Y-WE Website. You can look on the website for ideas.