YLP Application 2024 Leave this field blank Applicant's First Name Applicant's Last Name Date Of Birth: Age: Street Address: City: Zip Code Home Phone: (optional) Cell Phone: (optional) Name Of Parent/Guardian Home Phone: (optional) Cell Phone: (optional) Work Phone: (optional) Email: School Attending Now: School Attending in Fall 2023: Method of Transporation: Please Indicate car, bike, skateboard, walk, bus or other Location Preference: We will do our best to place you in the location(s) you request,but positions are limited and we may only able to offer you a position at an alternate location.Please rank the sites below according to your preference: (choose First 1,Second 2,Third 3 and Fourth 4 and so one) First (1) Second (2) Third (3) Fourth (4) Fifth (5) C. Waldo Scott Center First (1) Second (2) Third (3) Fourth (4) Fifth (5) Doris Miller Community Center First (1) Second (2) Third (3) Fourth (4) Fifth (5) Downing Gross Cultural Arts Center First (1) Second (2) Third (3) Fourth (4) Fifth (5) Pearl Bailey Library First (1) Second (2) Third (3) Fourth (4) Fifth (5) Boys & Girls Club - Greater Hampton Roads Unit First (1) Second (2) Third (3) Fourth (4) Fifth (5) What Size T-Shirt Will You Need For This Program? Choose One S M L XL XXL XXXL Volunteer Experience: Do you have any volunteer or leadership experience? Yes No Location: Date: Describe Your Experience: Interests, Hobbies & Experience: List any other extracurricular activities, interests or hobbies. Briefly Describe Why You Would Like To Participate in The WAA 'S Youth Leadership Service Learning Program Send