Youth Leadership San Marcos Application

Basic Information
Name
First Last
Date of Birth
Month
Day
Year
Gender
Address
Street Address Address Line 2 City State ZIP / Postal Code
Home Phone
Mobile Phone
Student Email
Parent or Guardian Name
First Last
Parent or Guardian Mobile Phone Number
Parent or Guardian Email
T-Shirt Size
Academics
Year in School as of August 2021
School
Grade Point Average (round to the nearest tenth)
Academic honors received in high school (please use semi-colons to separate honors received)
Current Extra-Curricular Activities
**Please use semi-colons to separate activities. (Example: Beta Club; Band; Cross Country)
List here school activities, clubs, athletic teams, if applicable.
List here community and volunteer activities, if applicable.
List here employment, if applicable.
Leadership Experience
List offices/leadership positions held in clubs or organizations, projects you directed/initiated if applicable.
What personal characteristics/qualities do you have that you feel give you the potential to be a leader?
What are your plans after high school graduation?
If you are selected, how could San Marcos Youth Leadership help you in achieving the above?

Basic Information