Youth Leadership Conference Application 2018

Alexandria Youth Leadership Conference 2018
Application

The Alexandria Campaign on Adolescent Pregnancy (ACAP) and the Substance Abuse Prevention Coalition of Alexandria (SAPCA) invite you to apply for our Annual Youth Leadership Conference! The conference will include workshops that will cover professionalism, resume writing, becoming a community change maker, conflict management, critical thinking, budgeting and money management and self-care. A networking fair will take place on August 15 with some of Alexandria's most prominent community leaders. Snacks and lunch will be provided for all attendees. To apply, please complete the form below. Once your application has been received and reviewed, a team member will notify you of your application status. If you have any questions, please contact Kim Hurley, kim.hurley@alexandriva.gov.

Who Should Apply: Rising ninth graders through twelfth grade residing in the City of Alexandria

When: August 13 - 15, 2018

Time: 9:00 a.m. - 5:00 p.m.

Where: Lee Center, 1108 Jefferson St, Alexandria, VA 22314

1. Name: *This question is required.

2. Grade: *This question is required.

3. Address:(Include Street, City, Zip Code) *This question is required.

4. Phone Number: *This question is required.

5. Email: *This question is required. This question requires a valid email address.

7. Emergency Contact Name: *This question is required.

8. Emergency Contact Phone Number: *This question is required.

9. Do you have any food allergies/preferences? If yes, please list allergies. If no, please write n/a. *This question is required.

10. T-shirt size: *This question is required.

11. Please list any leadership experiences that you have had and any organizations that you are involved in. If none, write n/a. *This question is required.

12. In 150 words or less, please tell us why you should be selected to attend the Alexandria Youth Leadership Conference: *This question is required.

13. List 1-2 things you hope to get out of the conference. *This question is required.