2019 Youth Leadership Institute Application Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastEmail *Your Preferred NameStreet Address *City, State, Zip Code *Phone (land line)Phone (cell)Are you 18 or older? *YesNoGenderDo you have a high school diploma or GED? *YesNoAre you currently attending college? *YesNoIf you are currently attending, name of collegeIf you are currently attending college, name of major or programHow did you first hear about the Youth Leadership Institute? *Do you have experience with one or more disabilities? *YesNoIf so, please describe:Are you available to attend YLI sessions on June 2, 9, and 16, from 9am to 5pm? *YesNoDo you require any accommodations to participate fully in the training? *YesNoIf so, please describe:Rate your skills and/or expertise in Advocacy: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Oral Communication: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Written Communication: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Conflict Resolution: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Legislation: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Marketing: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Mentoring: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Public Relations: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Public Speaking: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Problem Solving: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceRate your skills and/or expertise in Working in Teams: *1 - None: Not knowledgeable, no first-hand experience2 - Fair: Knowledgeable, little or no personal experience3 - Good: Competent, first-hand experience4 - Excellent: Expert, first-hand experienceWhat do you think makes a good leader? Describe with one or two examples how you are a leader in your school, community, or home. What are you looking to gain by participating in APIDC's Youth Leadership Institute in terms of personal growth and future opportunities? *By checking the box below, I agree that all of the information in this application is true. I agree that, if accepted, I will participate in all program activities, including implementing a community-based project within 12 months of completing the program (that is, by June 16, 2020). I understand that APIDC reserves the right to dismiss at any time any participant whose involvement, in the judgement of APIDC, would not be in the best interests of the Youth Leadership Institute. *AgreeSubmit NOTE: After submitting this form, please be sure to submit two letters of recommendation, from adults not related to you, to: