LOGO_5.png

Youth Leadership Jefferson County

An innovative program designed to develop leadership skills and build a deeper understanding and appreciation of your community.

Deadline: Monday, May 7th, 2018

Thank you for your interest in the Youth Leadership Jefferson County program! If you choose to fill out the application online, please include your question responses in the form below or email them to info@JCBEA.org or mail to attn: Dot Miller, 7187 W. 79th Drive, Arvada, CO 80003.

Name *
Name
Address *
Address
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Must be a sophomore, junior, or senior during the 2018-19 school year.
Parent/Guardian Contact Information
Address 1 *
Address 1
Phone *
Phone
Please submit a letter to YLJC, answering the following questions, and tell us why you are interested in participating in YLJC.
Include: *
Student Commitments
I have read and understand that these are the student commitments. *
Requirements for Student Application Submission *
Please have all documents emailed to info@JCBEA.org or mailed to attn: Dot Miller, 7187 W. 79th Drive, Arvada, CO 80003. If you choose to apply online, your parent, counselor and principal can agree to an electronic signature. Please fill out their names below so they can receive a follow up request for an electronic signature.
Required Signatures
Principal *
Principal
Counselor *
Counselor
Parent *
Parent
By electronically signing your name, you agree to send in all requirements to finish the student application and you understand all student requirements. *
By electronically signing your name, you agree to send in all requirements to finish the student application and you understand all student requirements.