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25-26 Bristol Youth Leadership Student Application

Bristol Youth Leadership is a 9-month leadership training program designed to empower local high school sophomores and juniors in the Bristol community. For more information on program details, please see the promotional packet on our website or ask for a physical copy through your school's Guidance Counselor. DEADLINE TO APPLY: FRIDAY, MAY 9, 2025
Student Information:

First Name *

Middle Name *

Last Name *

Preferred Name *

Mailing Address *
(Street Address, City, State, Zip Required)

School *

Upcoming Grade Level *

Cell Phone Number *

Student E-mail *
(Please provide an email that you use frequently and have access to over the summer.)

Short Answer Questions:

How did you find out about Bristol Youth Leadership? *

BYL Graduate Friend Teacher Counselor Media Parent Other

If you selected other, please specify.

Why do you want to be a part of Bristol Youth Leadership? *

Please explain the role of youth in ensuring community success. *

Essay Questions:

School, Work, Family, Religion & Community Service *
(Pick from the categories listed above and tell us how you have demonstrated leadership responsibilities so far within that realm.)

Accomplishments *
(Tell us about your greatest accomplishment thus far.)

Parent(s)/ Legal Guardian(s) Information:

Name (1) *
(First & Last)

Cell Phone Number (1) *

Email (1) *

Name (2)
(First & Last)

Cell Phone Number (2)

Email (2)

Attendance/ Participation Agreement:

If selected, you commit to attend the program orientation, opening retreat, each of the class program sessions and graduation. Full attendance by each participant is essential if the youth leadership program is to meet its objectives. Bristol Youth Leadership will work with schools to encourage attendance.

Student Electronic Signature *
By typing my full name in the space above, I certify that I have read and agree to the Attendance/Participation Agreement.

School Approval:

All applicants MUST have the approval of a school principal or home supervisor to attend the class sessions of Bristol Youth Leadership.

Attendance Contact Name *
(First & Last)

Attendance Contact Email *

Attendance Contact Work Phone *

Administrative Contact Name *
(First & Last)

Administrative Contact Email *

Administrative Contact Work Phone *

Student Electronic Signature *
By typing my full name in the space above, I certify that I have the approval of a school principal or home advisor and that I am in good academic standing as well as maintain adequate attendance.

Two Reference Submissions:

In order to be considered for an interview spot, students must obtain two reference submissions before the deadline. Upon completion of this application, you will receive a confirmation email. This email will contain the link for your reference form. It is your responsibility to disperse the form and ensure that the forms are received by the deadline.
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25-26 Bristol Youth Leadership Student Application