What Is YLI?

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YLI Interns

YLI Nomination

Participants are YLI’s most important asset. We need your help to recruit our largest class ever from the Kansas City metro area. Candidates must be an incoming sophomore, junior or senior for the 2010-2011 school year. From your own family, neighborhood, place of worship, scouting and/or sports programs, who do you know that is a worthy candidate?

Each nominee will by notified by our YLI Program Coordinator, Susan Keim, of his or her nomination to participate in this prestigious activity. In addition, each nominee will receive an information packet and application. Applications are reviewed in the order received, and are due by May 1, 2010. Thanks for your help in exposing students to such an outstanding opportunity!

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.

Your Information
Name:		Rotarian?
If a Rotarian, which Rotary Club:
Email Address:
Phone:

Nominee Information
Name:		Relationship:
Address:
City, State, Zip:
High School:		High School Year:
Email Address:
Phone:		Cell Phone:

Nominee's Parent Information
Parent #1’s Name:		Parent #1:
Parent #1’s Email Address:
Parent #1’s Work/Home Phone:		Parent #1’s Cell Phone:


Parent #2’s Name:		Parent #2:
Parent #2’s Email Address:
Parent #2’s Work/Home Phone:		Parent #2’s Cell Phone: