Youth Leader of the Year Award Application
1. Contact Information
First Name, Middle Initial .
Last Name
Ethnic Origin African-American Hispanic Native American Asian American Other
Gender Male Female
College/University
Permanent Address Apt.
City, State, Zip ,
Home Phone
Email
2. School Information
Campus Address
Address 2
City, State, Zip ,
Campus Phone
3. Academic & Extracurricular Background
Graduation Date
Major Area of Study
Classification Freshman Sophomore Junior Senior Graduate
Extracurricular Activities & Leadership Positions 1. Organization
Dates of Participation
Positions Held
2. Organization
Dates of Participation
Positions Held
3. Organization
Dates of Participation
Positions Held
Awards & Honors
Work & Volunteer Experience
4. Essay Questions
a. How would you define leadership?

b. Are you a leader? Explain.

Attach Your Essay Here:
OR
After you submit your application, please email your essay to info@nllc.org or mail your essay to NLLC Excellence in Leadership Awards, 28 Allegheny Avenue, Suite 503, Baltimore, MD 21204.

Application Deadline: September 30