Youth Leadership Billings Application - Billings Chamber of Commerce

All fields are required.

Student Information

Enter contact information for the student.

First Name

Last Name

Home Address

City

State

Zip

Phone

Student's School

Parent Information

Enter contact information for the student's parent.

First Name

Last Name

Home Address

City

State

Zip

Phone

Questions

In school, what areas of study do you enjoy most?

What are your main interests outside of school?

List your work and/or volunteer experience. If you currently work at a part-time job or as a volunteer, how many hours per week do you work?

Why do you want to participate in Youth Leadership Billings?

In your opinion, what are the biggest challenges facing high school students in Billings?

Is there anything else you would like to tell about yourself? (Awards, honors, special activities, significant experiences or accomplishments, etc.)

What do you hope to achieve from participating in this program?

If you are selected for this program, does your schedule allow you to miss one day of school per month for Youth Leadership Billings (consider the class work you will have to make up and the school days you might already miss for other activities you participate in)?

Electronic Signatures

Student: Your electronic signature below verifies that, if you are accepted into the program, you understand and agree to abide by the program's tuition and policies as described above. Information provided will be kept confidential and only used for its intended purpose.

I agree with the above statement. Click here to review tuition and policies before signing.

Parent: Your electronic signature below verifies that, if your child is accepted into the program, you understand and agree to abide by the program's tuition and policies as described above. Information provided will be kept confidential and only used for its intended purpose.

I agree with the above statement. Click here to review tuition and policies before signing.