STUDENT APPLICATION
"Catch The Spirit" of the 2008 Alaska Points of Light Youth Leadership Institute
______March 10, 11, 12, 13, & 14 (9:00 a.m. - 5:00 p.m.), 2008 UAA
______July 21, 22, 23, 24 & 25(9:00 a.m. - 5:00 p.m.), 2008 UAA
______July 28, 29, 30, 31, & Aug 1 (9:00 a.m. - 5:00 p.m.), 2008 UA Mat-Su
Student Application
( Please Print Clearly )
Name _________________________________Age_______ Date of Birth__________
Mailing Address ________________________________________________________
City/Village _________________________ State _____Zip Code______________
Home Telephone Number ____________________Home Fax _____________________
E-mail__________________________________________________________________
School _________________________________Grade (Fall) ___________________
School Address _________________________________________________________
Parent/Guardian Name (please print) ____________________________________
Parent/Guardian Signature ______________________________________________
Adult Reference _________________Title ______________ Signature__________
Please respond to the following questions on the attached sheet of paper. Your answers should be no more than allowed in the space provided. Some need based financial aid is available for registration fees.
**Checks should be made out to: "Alaska PYLI"
____________Partial Financial aid requested (amount requested)
You may deliver or mail your completed application and registration fee ($100) to:
2008 Alaska Points of Light Youth Leadership Institute
Friends of Alaska PYLI
3220 East 40th Ave
Anchorage, Alaska 99508
Deliver completed applications to Prudential Real Estate offices in Anchorage, Eagle River or Wasilla. Applications are due ASAP & no later than 3 Weeks Before Institute.
For more information: see www.PYLI.org or call 561-6630 and email
alaskayouthasresources@alaska.net
Spread the word about the 2008 Alaska PYLI & "Catch the Spirit of Community Leadership For Service!"
2008 Alaska Points of Light Youth Leadership Institute
______March 10, 11, 12, 13, & 14 (9:00 a.m. - 5:00 p.m.), 2008 UAA
______July 21, 22, 23, 24 & 25 (9:00 a.m. - 5:00 p.m.), 2008 UAA
______July 28, 29, 30, 31, & Aug 1 (9:00 a.m. - 5:00 p.m.), 2008 UA Mat-Su
Student Application
(Please Print Clearly)
Name _____________________________________Age____Grade ____Date_____
Briefly answer the following questions:
1. Why do you want to attend the Alaska Points of Light Youth Leadership Institute ?
2. What does leadership mean to you?
3. How are you currently involved in your community?
4. After the Institute, how will you use your leadership skills to involve other young people in helping the community?
5. Tell us about yourself. Write a short story about your life to date. (on separate Page)
( you might include your interests, hobbies, goals, significant experiences, etc.)Beau Bassett, Ed.M.,J.D.
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