Dear Youth Leadership Applicant

April 27, 2017

Dear Youth Leadership Applicant,

I am delighted that you have chosen to apply for the Youth Leadership Class of 2017-18. I hope you will find it to be a learning experience regardless of the outcome of the application process. As you are probably aware, this is not a responsibility to be taken lightly. Although the program will be demanding at times, I feel that you will find it to offer some of the most memorable experiences of your high school career. If you are selected, you should gain knowledge that you can use for the rest of your life no matter where you choose to live.

I ask that you save a copy of your completed application for your records in order to prepare for your interview. I will be in touch with you soon after the last day of school if you are selected for an interview. The opportunity to interview will be based on the quality of your application and your school records including grades, test scores, attendance and behavior. I urge you to prepare your application carefully.

If you have any questions, please stop by the Youth Services Center, email me at or call or text me at 270-705-3306. Good luck!

Sincerely,

Kaye Horn

YOUTH LEADERSHIPSPONSORED BY:

Youth Deal of Mayfield/Graves County

Mayfield/Graves County Chamber of Commerce

Graves County Board of Education

Mayfield Independent Board of Education

Graves County High School SUMMITYSC

Mayfield S.T.A.R. Youth Services Center

Ronald McDonald House Charities

APPLICATION PACKET

COMPLETE AND RETURN TO Mrs. Horn IN THE YOUTH SERVICES CENTER NO LATER THAN May 17, 2017

Student Name:

Please type this application.

A downloadable version of this application is on the GCHS website

just under the “High School News” heading.

MAYFIELD/GRAVES COUNTY

YOUTH LEADERSHIP APPLICATION

Return to the Youth Services Center no later than

May 17, 2017

PERSONAL INFORMATION

(Please type)

Name:

(Last)(First)(Middle)

Name Preference:Phone:

(Nickname)

Date of Birth:Place of Birth:

(Day/Mo./Yr.)(City & State)

Street Address:

City:State:Zip Code:

Parent/Guardian Name:

Parent/Guardian Name:

Emergency Contact:Phone:

The Youth Leadership Program is a collaborative effort with Mayfield High School and our community partners who donate their time and expertise. As a result, the Youth Leadership Program MUST BE A PRIORITY in your schedule. While we try to coordinate schedules as much as possible, a conflict may occur and it is up to you to resolve any scheduling conflicts. If selected, your signature below is a commitment to attend each of the program sessions and community service obligations.

YES (initial on line)

Signature of Applicant:Date:

Parent/Guardian Signature:Date:

Please complete the following questions/statements:

1. Describe yourself.

2. What three things concern you the most about life in Mayfield and Graves County (list according to importance)?

3. Which session in the program calendar interests you the most and what do you expect to learn from that session? (Arts & Humanities; Government; Environment; Health; Agriculture; Business & Industry; Community Resources;Education)

4. If you could change anything about our community, what would it be? How would you make the change?

5. What work experience, paid or volunteer, do you have? Briefly explain your responsibilities.

Do you currently have a job? How many hours per week?

Would your job/internship interfere with your attendance at Youth Leadership events?

6. Who has been the most influential person in your life? Why?

7. How would you describe a leader? What qualities must a leader possess and why?

8. List in order of importance three (3) organizations, clubs, teams or groups of which you have been a part during your high school career. Comment briefly on why your participation was important to you.

MOST IMPORTANT:

SECOND MOST IMPORTANT:

THIRD MOST IMPORTANT:

I am completing this application with the understanding that if I am selected, I will serve my community and set an upstanding example for my peers. If I violate this understanding, my enrollment will be compromised and status will be determined by a group of my peers. In order to complete

the program I will be expected to give of my time and talent as needed. I also understand that I will be required to participate in all scheduled days, trips, events and meetings unless otherwise approved. I will be a supportive member of my leadership team and maintain a positive attitude at all times.

SignatureDate