Application for the Oklahoma Youth Leadership Forum (OKYLF)

DEADLINE: Applications must be submitted by March 1st.

Audio and video applications are accepted when all information is included.
You may call to dictate your answers and we will complete the form with you.

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20% of survey complete.

To be eligible for the Oklahoma YLF, a student must:

Be in 10th, 11th, or 12th grade as of December 19th;
have demonstrated leadership potential in the school and community;
live in Oklahoma, and
have a disability, as defined by the Americans with Disabilities Act OR have an interest in working with others who have a disability or have a family member with a disability (such as a brother, sister, cousin).
Complete all sections of the application.

Question Title

* 1. Delegate Name and contact information

First and Last Name

Mailing Address

City/Town

State

ZIP Code

Email Address

Cell Phone Number

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* 2. Do you text?

Yes

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* 3. Birthday

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* 4. Age

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* 5. Gender

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* 6. Parent or Guardian Contact Information

Name

Email Address

Phone Number

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* 7. High School Information

Name of High School

Address

City/Town

High School Principal's Name

Current Grade

Date of Estimated Graduation

Application for the Oklahoma Youth Leadership Forum (OKYLF)

Question Title

* 1. Delegate Name and contact information

Question Title

* 2. Do you text?

Question Title

* 3. Birthday

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* 4. Age

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* 5. Gender

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* 6. Parent or Guardian Contact Information

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* 7. High School Information

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* 8. List the school classes in which you are currently enrolled:

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* 9. School activities. Briefly list activities you are involved during school. Include any offices you held, club memberships, etc.