What Is YLI?

Facilitators
Bios

YLI Interns

YLI Application

Thank you for your interest in attending the Overland Park Rotary Club Foundation’s Youth Leadership Institute! Applications are due May 1, 2010. Apply early because space is limited. Applications are reviewed in the order received.

Complete applications will be processed by June 1, 2010. Letters of acceptance will be issued at that time, together with a request for a full payment of the all-inclusive $195 tuition. Tuition covers the participant's program supplies, meals and field trip transportation for the week. Tuition fees are fully refundable for cancellations received no later than June 30, 2010.

Do you know someone who would benefit from YLI? If so, please nominate them now!

Tuition Assistance

If you cannot afford the full tuition cost of $195, you may apply for financial aid in the form of a grant from the Overland Park Rotary Foundation. Have your parents submit a request, in writing, to YLI Program Coordinator Susan Keim, at the address below. The request must include a detailed explanation of the need for financial assistance.

Susan Keim
YLI Program Coordinator
625 Indiana
Lawrence, KS 66044

Begin your application process now! Please note, submitting this form does NOT complete your application! You MUST download and have a teacher or counselor submit our School Staff Report form, which is available for download immediately after submitting your online application.

All fields highlighted in yellow are required for your nomination to be submitted.

Please note: the highlighted fields are just the minimum information needed. Please complete all fields if applicable.

Student Information
Name:		Gender:
Address:
City, State, Zip:
Email Address:
Phone:		Date of Birth:
School:
High School Year:

Parent #1’s Contact Information
Parent #1’s Name:		Parent #1
Address: (not required if same as student’s)
City, State, Zip:
Email Address:
Work Phone:		Cell/Home Phone:
Occupation:		Rotary?

Parent #2’s Contact Information
Parent #2’s Name:		Parent #2
Address: (not required if same as student’s)
City, State, Zip:
Email Address:
Work Phone:		Cell/Home Phone:
Occupation:		Rotary?

This program involves physical activities. Do you have any limitations of which we need to be aware? If yes, please explain:

Do you have any dietary restrictions? If yes, please explain:

How did you find out about YLI?

The success of YLI depends upon the interaction and teamwork of ALL YLI participants. Consequently, acceptance of your application is contingent upon your commitment to attend the Get Acquainted Barbeque and all five program sessions. Please review the schedule below and plan your time commitment accordingly. Get Acquainted Barbeque Sunday, July 18, 2010 6:00 -8:00 p.m. YLI Program Sessions Monday, July 19 - Friday, July 23, 2010 8:00 a.m. - 5:00 p.m. (Some days will end before 5:00 p.m.) Johnson County Community College By clicking submit, you agree and commit that the student will attend the Get Acquainted Barbeque and all five program sessions.