July 26, 2019 by mbcchamber Please complete the form below to apply for Youth Leadership Baldwin Step 1 of 4 25% Personal InformationName* First Middle Last Nickname or Preferred Name Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneCell Phone*Email Address* Birthdate* MM slash DD slash YYYY T-Shirt Size* High School* GPA*Dual Enrollment* Yes No AP/ Honors Classes* Yes No Parent or Guardian Name* First Last Parent or Guardian Cellphone*College or University you plan to attend* Organizations & ActivitiesList up to five school, volunteer, religious, social, athletic, or other organizations or activities in which you have participated since your Freshman year.Organization or Activity #1 Year(s) ResponsibilitiesAdd Additional Experience? Yes No Organization or Activity #2 Year(s) ResponsibilitiesAdd Additional Experience? Yes No Organization or Activity #3 Year(s) ResponsibilitiesAdd Additional Experience? Yes No Organization or Activity #4 Year(s) ResponsibilitiesAdd Additional Experience? Yes No Organization or Activity #5 Year(s) ResponsibilitiesWork ExperienceList any part-time job you have held and briefly explain your responsibilities.Employer #1 Begin Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Position Held ResponsibilitiesAdd second job experience? Yes No Employer #2 Begin Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Position Held ResponsibilitiesAdd third job experience? Yes No Employer #3 Begin Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Position Held ResponsibilitiesDescribe YourselfUse the space below to tell us about yourself* General InformationHow did you learn about Leadership Baldwin?* Youth Leadership Graduate Friend Teacher Counselor Social Media Parent Website Other Why do you want to participate in Youth Leadership Baldwin? What benefits do you hope to gain and what contributions can you make to the program?*What goals (personal, educational, careet, etc) have you set for the future?*What do you believe is the role and responsibility of a community leader?*In your opinion, what is the greatest challenge or problem facing youth today?*In your opinion, what are the two most challenging issues facing Baldwin County today? Please describe in detail*In your opinion, what characteristics should a leader possess? How do your strive to meet those characteristics?* SignaturesPlease print the form at the link below and have it signed by the parties requested. Send the signed form by mail or email according to the instructions at the bottom of the form.Click here to access the signature form* I have printed the signature pageYou're all done!Press "Submit" below to complete your application!
