Youth Leadership Training Program - RYLA
The Rotary Youth Leadership Awards (RYLA) program is for young adults, professionals, entrepreneurs, college and university students who demonstrate self-awareness, leadership qualities and concern for others.
Note to all applicants: You must be able to attend the full RYLA program, staying on campus for the duration of the program (June 11-17, 2010) and be free of any other commitments.
*Highlighted fields are required.
Download a copy of the 2010 Application Form (PDF)
Personal Information
Last Name
First Name
Middle Name
Nickname
Gender Male Female
Date of Birth
Contact Information
Street Address
City
Province
Postal Code (e.g A2A 2A2)
Phone (e.g. 999-999-9999)
Email Address
Emergency Contact Information
Name
Phone (e.g. 999-999-9999)
Cell (e.g. 999-999-9999)
Email Address
Academic Record
Highest Level of Education achieved
Date of Completion
Name of Insitution
Work History
Current Employer
Supervisor's Name
Street Address
City
Province
Postal Code
Phone (e.g 999-999-9999)
Please list part-time employment position(s) and responsibilites
Please list full-time employment position(s) and responsibilties
Volunteer Involvement
Please list the volunteer activies in which you have been involved with over the past 5 years
Leadership Roles
Please describe your leadership positions and/or experiences
(employment, college/university, secondary school, sports, church, community, etc.)
Leadership Experience
RYLA is a leadership training program for young adults. It will help us to know how experienced you are in leadership roles. Describe the leadership qualities you believe you have and what you expect to enhance.
Awards
Please identify any awards that you have received in the past five years and explain briefly why you received each award.
(academic, sports, community service, etc.)
Do you play a musical instrument? Yes No
Name of instrument(s)
References
Please provide the names and contact information for at least two references
(personal,academic and/or employer)
Reference #1
Name
Address
Relationship to applicant
Phone (e.g. 999-999-9999)
Email
Reference #2
Name
Address
Relationship to applicant
Phone (e.g. 999-999-9999)
Email
Reference #3
Name
Address
Relationship to applicant
Phone (e.g. 999-999-9999)
Email