National Youth Congress Interest Application 2019 (Summer) Question Title * 1. What is your FIRST name? Question Title * 2. What is your LAST name? Question Title * 3. How old are you? Question Title * 4. What is your HOME address? Question Title * 5. What is your ZIP code? Question Title * 6. What is your email address? (this email will be used for communication purposes during the duration of the program) Question Title * 7. What is your cellphone number? (this number will be used for communication purposes during the duration of program) Question Title * 8. Please provide the NAME and PHONE NUMBER of your PARENT and or GUARDIAN. Question Title * 9. Please provide a PARENT/GAURDIAN email address. Question Title * 10. Please provide NAME and PHONE NUMBER of the person we should call in the case of an EMERGENCY. Question Title * 11. What is your relationship with this person? Mother/Father Guardian Aunt/Uncle Friend of the Family (Please Specify) Question Title * 12. What grade are you in? 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Question Title * 13. What school do you attend? Question Title * 14. How did you hear about the National Youth Congress Program? Internet (Arlington County Website) Posted Flyers. Newspaper, Family/Friend Arlington County Parks and Recreation Staff Other (please specify) Question Title * 15. If selected, which session would you like to be considered for? Session One: June 24- July 12, 2019 Session Two: July 15-August 2, 2019 I am flexible either session is fine Question Title * 16. Please share why you should be chosen to participate in National Youth Congress. (at least 150 words) Question Title * 17. If selected, what do you hope to gain from the National Youth Congress experience? (at least 150 words) Question Title * 18. Please describe your past and present volunteering experiences, community and/or religious involvement. Include name of organization(s), position(s) you have held, your responsibilities, duration of the position, and the name of your immediate supervisor (s). Question Title * 19. If selected, what would you bring to the National Youth Congress program? Done