For School Administrator Use ONLY

This form is for school administrators, i.e. principals, guidance couselors, etc. to provide a recommendation for applicants of Youth Leadership Mobile. If you need further information or have any questions, please contact Programs Director Chris Gibson at 432-1638.

Question Title

* 1. Applicant First and Last Name

Question Title

* 2. Applicant School and Grade

Question Title

* 3. Your Name

Question Title

* 4. Your Title

Question Title

* 5. Each applicant must have approval from his/her school administrator to participate in 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.

T