OH-WV Youth Leadership Association

Youth building better homes, schools, and communities since 1867
 

Ohio-West Virginia Youth Leadership Association Alumni Data Form

If you have been a participant in any of our programs or in some way have been involved with the Ohio-West Virginia Youth Leadership Association as a volunteer, friend, supporter, or in whatever capacity, we'd love to hear from you. Please take a few moments to complete this data entry form and let us know about your involvement.
Your Name: First:
Middle Initial:     Last:
Maiden Name:
Mailing Address: Street:
City:
State:
Zip:
Phone:
E-mail Address: Primary:
Secondary:
Gender: Male: Female:
Are you Registered
on Facebook.com?		 Yes No
Year of High
School Graduation:
College Attended:
Year of College
Graduation:
Current Occupation:
Are you Active
in your Community?		 Yes No
If YES,
Please Explain:
YLA Involvement: YLA Group Name:
Name of School:
Advisor: Yes No
I was a Participant in: Ohio Youth in Government in year(s)
       Office Held:
West Virginia Youth in Government in year(s)
       Office Held:
Ohio Fall Conference in year(s)
West Virginia Fall Conference in year(s)
United Nations in year(s):
       Office Held:
I was at
Camp Horseshoe:		 Free Enterprise Leadership Camp in year(s):
Leadership Camp in year(s):
Leadership-Service Camp in year(s):
Adventure Camp in year(s):
YOC Camp in year(s):
Other Program or
Camp Participation		 in year(s)
Haven't been a
Program Participant
but have been:		 Friend of the Youth Leadership Association
Contributor
Volunteer
Tell Us What
You've Been Doing
or send us your
Comments/Questions:

Note: Your name, school, leadership position, participation dates and email address will be published on this site so that you may keep in touch with other Ohio-West Virginia YLA friends.
YLA Youth Groups   SR & MS Model United Nations
OHIO Youth in Government   WEST VIRGINIA Youth in Government
8th Grade Youth & Government Seminars   Horseshoe Youth Camps and Summits
Heritage Arts at Horseshoe   Family Camping at Cave Lake & Horseshoe
Fall Conference   Make a Difference Day at Cave Lake
 

Calendar

Board

Staff

Partnerships

Locations

HOME

Stay Connected

 View Our Flickr Photos   Join Us on Facebook   Email Us  

Ohio-West Virginia Youth Leadership Association
P.O. Box 239    Pt. Pleasant, WV 25550
304.675.5899
The Ohio-West Virginia Youth Leadership Association is a
501(c)(3) not-for-profit organization.
All Contents Copyright © , Ohio-West Virginia Youth Leadership Association