26-27 Bristol Youth Leadership Student Application

Bristol Youth Leadership is a 9-month leadership training program designed to empower local high school sophomores and juniors in the Bristol community. For more information on program details, please see the promotional packet on our website or ask for a physical copy through your school's Guidance Counselor. Complete applications must be submitted by Friday, May 1, 2026 at 5 PM for consideration. A completed application consists of this current form and two reference submissions.

Student Information:

First Name *

Middle Name *

Last Name *

Preferred Name *

Mailing Address *

(Street Address, City, State, Zip Required)

School *

Upcoming Grade Level *

Cell Phone Number *

Student E-mail *

(As certain districts prohibit any communication from outside organizations, please provide an email that is not connected to your school.)

Short Answer Questions:

How did you find out about Bristol Youth Leadership? *

BYL Graduate Friend Teacher Counselor Media Parent Other

If you selected other, please specify.

Why do you want to be a part of Bristol Youth Leadership? *

Please explain the role of youth in ensuring community success. *

Essay Questions:

School, Work, Family, Religion & Community Service *

(Pick from the categories listed above and tell us how you have demonstrated leadership responsibilities so far within that realm.)

Accomplishments *

(Tell us about your greatest accomplishment thus far.)

Parent(s)/ Legal Guardian(s) Information:

Name (1) *

(First & Last)

Cell Phone Number (1) *

Email (1) *

Name (2)

(First & Last)

Cell Phone Number (2)

Email (2)

Attendance/ Participation Agreement:

If selected, you commit to attend the program orientation, opening retreat, each of the class program sessions and graduation. Full attendance by each participant is essential if the youth leadership program is to meet its objectives. Bristol Youth Leadership will work with schools to encourage attendance.

Student Electronic Signature *

By typing my full name in the space above, I certify that I have read and agree to the Attendance/Participation Agreement.

School Approval:

All applicants MUST have the approval of a school principal or home supervisor to attend the class sessions of Bristol Youth Leadership.

Attendance Contact Name *

(First & Last)

Attendance Contact Email *

Attendance Contact Work Phone *

Administrative Contact Name *

(First & Last)

Administrative Contact Email *

Administrative Contact Work Phone *

Student Electronic Signature *

By typing my full name in the space above, I certify that I have the approval of a school principal or home advisor and that I am in good academic standing as well as maintain adequate attendance.

Two Reference Submissions:

In order to be considered for an interview spot, students must obtain two reference submissions before the deadline. Once your application has been submitted, you will receive a personal confirmation email from the Program Manager within 24 hours. This communication will contain the link for your reference forms. It is your responsibility to disperse the link and ensure that the forms are received by the deadline (Friday, May 1, 2026 at 5 PM).

26-27 Bristol Youth Leadership Student Application

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