YOUTH LEADERSHIP
          "AIM HIGH"

APPLICATION INFORMATION:

1.  Preliminary Application Forms will be available from 
the school counselor's office or local MOWW chapter.  
If necessary, students may prepare their own form 
using the outline found on this page.  Each student shall complete and submit a Preliminary Application Form to the school counselor or other designated person.  The application shall be forwarded to the Registrar, Northwest Youth Leadership Conference, not later than May 15th.  The address for the completed form is:  Registrar, NWYLC, 4610 29th Ave. NE, Tacoma, WA 98422

2.  The format for the Preliminary Application:

Full Name_____________________________________

HIgh School & Grade_____________________________________
Mailing Address______________________________
City_______________State________ZIPCode_____

Telephone________________E-Mail.____________

Reason (s) you think you are suitable to attend the conference________________________________
_________________________________________
_________________________________________

For Counselor or Principal:  What is your view on the suitablility of this student to attend 

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Signature of Student_______________________Date________

Signature of Parent or Guardian(s)_________________________________Date____         Signature of Counselor______________  Date____

Questions should be referred  to CDR Alan Mandigo USN (R),  253-571-3094 (W) or 253-568-6544 (H)  Mailing Address:  4610 29th Ave. 
NE, Tacoma, WA 98422  e-mail:
amandig@tacoma.k12.wa.us

3If selected for the conference, the student will receive formal application and parental permission forms from the Registrar in the mail.  These forms must be completed in their entirity and submitted to the sponsoring MOWW chapter representative or designated person not later than June 1st.  Any student who has a health problem such as a physical disability, alergy or other problem must make that known during the application process.  This is for the benefit of the student should an emergency occur during the conference.  Coordinaton should be made with the Registrar concerning any aspect of student health and safety before the conference begins.

4.  Students approved to attend will receive packets from the Registrar or other designated person containing conference and travel instructions.  Dressy clothes should be brought to the conference for wear at the opening and closing banquets  






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