High Lakes Youth Leadership Application

 
 

Please complete each section in full.
Applications may also be typed or handwritten and submitted to:
High Lakes Youth Leadership Program
208 W. Taylor, P.O. Box 471
Creston, IA 50801

DIRECTIONS:

  1. The student must complete and submit SECTION I-STUDENT INFORMATION.
  2. The adult/peer reference must complete and submit SECTION II-REFERENCE INFORMATION.  The adult/peer reference should be an individual that is personally acquainted with the student, and will continue to have contact with the student throughout the next school year.  The reference should not be a family member of the student. This form can be used to nominate a student for the program.

If you have any questions regarding the Application or Reference Form, please contact:

Mindy Stalker, Program Coordinator   641-782-2003

Due Date:  The application period is now closed. We are making preperations for the Class of 2018!

 

 
 
  High Lakes Leadership Initiative / Union County Development Association 208 West Taylor, PO Box 471 Creston, Iowa 50801
  Phone: (641) 782-2003  
        Site Designed By: three C design