YLE Adult Chaperone Scholarships Question Title * 1. Please enter your contact information: Name Council Role/Position Email Address Phone Number OK Question Title * 2. What is the name and contact information of the adult travel chaperone you are apply for? Name Position at council (Executive Director, Volunteer, Program Staff, etc) Email Address Phone Number OK Question Title * 3. What is the contact information for the youth your chaperone will be traveling with? Name Age Camp Fire Program (Ex. Teens In Action, CIT) Email Address Phone Number OK Question Title * 4. Does your council intend to send participants to NLC? Yes No OK Question Title * 5. Will you be applying for a youth scholarship as well? Yes No Not sure OK DONE