For School Administrator Use ONLY

This form is for school administrators, i.e. principals, guidance counselors, etc. to provide a recommendation for applicants of Youth Leadership Mobile. Simply complete this form by May 17th, 2021 for your student to be considered for the class of 2022.

If you need further information or have any questions, please contact YLM Program Director Brittany Gagliano at 251-432-1638 (office) or  205-757-0535 (cell).

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* 1. Applicant First and Last Name

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* 2. Applicant School and Grade

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* 3. Your Name

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* 4. Your Title

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* 5. Each applicant must have approval from his/her school administrator to participate in Youth Leadership Mobile (YLM). This program includes a summer leadership intensive, community service projects, and leadership seminars throughout the year. By selecting YES below, you approve the named student's participation in YLM. By selecting NO, you have concerns about this student's ability to participate in YLM and to serve our community.

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