MoDOT's Youth Transportation Conference Application

To apply for YTC, you must submit this completed application form along with one letter of recommendation from someone familiar with your academic performance, character, career aspirations, or community service. The letter should be no longer than one page. The letter may reflect your scholarly activities, conduct, attitude, ability to collaborate, etc.

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* 1. Student Information

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* 2. Student Email

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* 3. Student Phone Number

We kindly request student phone numbers to facilitate effective communication during the conference. We will use this information to send important reminders and announcements via the GroupMe app. Student managers and MoDOT staff will send notifications such as:

- Meeting times in the morning
- End of break times
- Conclusion of free time/start of room checks
- Gather times at the vans
- Breakfast notifications
- And other essential updates

While providing a phone number is not mandatory, it has proven to be a valuable tool for sharing time-sensitive information with the entire group.

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* 4. Address

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* 5. Date of Birth

Date of Birth

Date

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* 6. How did you hear about MoDOT's YTC?

Teacher/School

Social Media

Parent

Friend

Other (please list)

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* 7. Gender:

Male

Female

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* 8. Race (select all that apply)

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

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* 9. Current Grade in Spring 2026:

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* 10. Name of School

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* 11. T-Shirt Size (adult sizes)

Small

Medium

Large

X-Large

2XL

3XL

4XL

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* 12. Do you need any special/Americans with Disability Act (ADA) accomodations? If so, please specify (no dietary restrictions):

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* 13. Do you have a relative who works for MoDOT?

Yes (please provide name and relationship):

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* 14. Parent/Guardian Information (if student is 17 years or younger)

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* 15. Parent/Guardian Email:

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* 16. Parent/Guardian Preferred Phone Number (work or personal)

APPLICATION DEADLINE: Friday, April 24, 2026.

Please submit your letter of recommendation by email to YTC@modot.mo.gov or by mail to:

Missouri Department of Transportation
ATTN: Tynesha Bryan
601 W. Main Street
Jefferson City, MO 65101

Phone: 573-522-9482

Either you or the individual writing the letter is welcome to send it.

To learn more, please visit our website or contact us with any questions.

If you need auxiliary aids and services or any other accommodation due to a disability, please contact:
Jessica Kallenbach
Human Resources Specialist
jessica.kallenbach@modot.mo.gov
(573) 526-5617

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* 17. Acknowledgement/Agreement

Student Certification: I certify that the information provided on this application form is accurate and complete to the best of my knowledge.

Parent Consent: I, the parent/guardian, give my consent for my child to attend the conference and acknowledge that I have reviewed the information provided in this application.

Attention Veterans!

Effective Aug 28, 2024, RSMO 42.051 requires all state agencies provide these questions on all public comment forms. This effort is to assist veterans with information on benefits and services.

(1) Have you ever served on active duty in the Armed Forces of the United States and separated from such service under conditions other than dishonorable?

(2) Would you like to receive information and assistance regarding veterans benefits and services?

(3) May MoDOT share your contact information with the Missouri Veterans Commission (MVC) to provide such information? If yes, please CLICK HERE to be redirected to MVC for additional information.