The Program Leadership Application must be completed by October 13, 2011. Late applications will not be accepted. All applicants must review the Student Leadership Overview document. If you have any questions about or trouble with the form, please contact Ken Hussey at khussey@jcymca.org. Students applying for Committee Chairperson, Floor Leader, President/Speaker Pro Tempore, and Judge MUST be able to attend Early Arrival Training, which is the night before the State Convention in Jefferson City. Please note that this form works best when JavaScript is enabled.

Student Information: Please enter the following information to apply to serve as a program leader.

Student Name - First:	Preferred:    Last:
Email:
High School Grad Year:	(Select Year) 2012 2013 2014 2015
Delegation:	(Select Delegation) Bayless High School Big Picture Academy Bowling Green High School Bowling Green Middle School Bryan Middle School Callaway County YMCA Cameron YMCA Carondelet YMCA Carnahan High School Center High School Clopton High School Columbia Confluence Preparatory Academy Construction Careers Center Downtown YMCA (St. Louis) Eldon Emerson YMCA Fanning Middle School Francis Howell High School Francis Howell Central High School Francis Howell North High School Frontier School of Excellence Gateway Institute of Technology High School Harrisonville High School Hazelwood North Middle School Jefferson City YMCA Kirkwood High School Lee's Summit High School Lee's Summit North High School Lee's Summit West High School Lindbergh High School Long Middle School Lyon @ Blow Middle School L'Ouverture Middle School Marquette High School Mexico YMCA Monsanto YMCA Northwest Academy Parkway South High School Parkway South Middle School Pembroke Hill School Rockwood Summit High School Roosevelt High School Rosati-Kain High School Saeger Middle School South City YMCA (St. Louis) Southeast Middle School Sperreng-Truman Middle Schools Springfield YMCA St. Joseph's Academy Trinity Catholic High School Visitation Academy Wildwood YMCA Winfield High School YIG Program Coordinator YMCA of Kansas City YMCA of St. Louis    If not listed, please contact the YIG State Office.
Program Area:	(Select Program Area) Judicial Legislative

Warning: include(positions.php) [function.include]: failed to open stream: No such file or directory in /home/moyig/dev.moyig.org/registration/leader/index.php on line 35

Warning: include() [function.include]: Failed opening 'positions.php' for inclusion (include_path='.:/usr/local/lib/php:/usr/local/php5/lib/pear') in /home/moyig/dev.moyig.org/registration/leader/index.php on line 35

Warning: include(statement.php) [function.include]: failed to open stream: No such file or directory in /home/moyig/dev.moyig.org/registration/leader/index.php on line 39

Warning: include() [function.include]: Failed opening 'statement.php' for inclusion (include_path='.:/usr/local/lib/php:/usr/local/php5/lib/pear') in /home/moyig/dev.moyig.org/registration/leader/index.php on line 39

Terms of Agreement: Please review the following statement and indicate your agreement.

I have reviewed the Student Leadership Overview document and verified that I meet the requirements for the position(s) I am seeking. I agree to abide by all the rules and requirements set forth by Missouri YMCA Youth In Government.

Please check the box indicating that you have read and agree with the above statement. Your application will not be accepted without checking this box.

Verification (CAPTCHA): Please enter the two words you see in the box below to securely submit your form.

Warning: include(/home/moyig/dev.moyig.org/includes/_contact.php) [function.include]: failed to open stream: No such file or directory in /home/moyig/dev.moyig.org/registration/leader/index.php on line 59

Warning: include() [function.include]: Failed opening '/home/moyig/dev.moyig.org/includes/_contact.php' for inclusion (include_path='.:/usr/local/lib/php:/usr/local/php5/lib/pear') in /home/moyig/dev.moyig.org/registration/leader/index.php on line 59

Warning: include(/home/moyig/dev.moyig.org/includes/_copyright.php) [function.include]: failed to open stream: No such file or directory in /home/moyig/dev.moyig.org/registration/leader/index.php on line 60

Warning: include() [function.include]: Failed opening '/home/moyig/dev.moyig.org/includes/_copyright.php' for inclusion (include_path='.:/usr/local/lib/php:/usr/local/php5/lib/pear') in /home/moyig/dev.moyig.org/registration/leader/index.php on line 60