BYL Application

Thank you for your interest in the program!

Student/Parent Commitment Form can be found at the bottom of this page.

2016-17 Bossier Youth Leadership Application

Student cost for Bossier Youth Leadership is $100. The Bossier Chamber of Commerce and several business sponsors financially support the program. If a scholarship for program cost is necessary, please call Jana Morgan(746-0252) or email at jana@bossierchamber.com.
DEADLINE FOR SUBMISSION: MARCH 21, 2016. NO EXCEPTIONS.

First Name *

Last Name *

How did you hear about this program: *

Age *

Gender *

Full Home Address (Box Number, Street, City, Zip) *

Home Phone: *

Daytime contact phone *

Name of High School *

Student Email *

Parent/Guardian Name *

Parent/Guardian Email *

MENS Cut Polo Size *
SmallMediumLargeX-LargeXX-Large

T-Shirt Size *
SmallMediumLargeX-LargeXX-Large

Please complete the REQUIRED three (3) essays below. In your submissions, do not identify yourself by name.

1a. Describe one high school extracurricular activity in which you have participated and explain how it has helped you to develop leadership skills. Essay must be 75 to 125 words. (10 points) *

1b. Upload a letter from the activity sponsor describing your involvement and areas of responsibility for this extracurricular activity. (5 points)

2a. Describe one community-related activity in which you have participated during the last two years and explain how it has helped you to develop leadership skills. Essay must be 75 to 125 words. (10 points) *

2b. Upload a letter from the activity sponsor describing your involvement and areas of responsibility for this community-related activity. (5 points)

3. In an essay, explain what you expect to gain from participation in this program. Describe your leadership skills and how you would use your skills to strengthen the Bossier Youth Leadership Program. Include a community service or volunteer position you see as vital in your adult life. Essay must be 200 to 250 words. (50 points) *

Attendance is mandatory for all sessions. Excused absences are limited to 2 sessions and must be documented by parent and school. Absences that are not excused within 3 days of the session will be unexcused and the student will not be allowed to complete the program. Participants must be enrolled in the Bossier Parish School System for the entire school year.
Download the commitment form at the top of the page and fax to the Bossier Chamber of Commerce Attn: BYL Coordinator (318) 746-0357

Date Submitted:

Please leave this field empty.

2016 BYL StudentParent Commitment form