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Are you interested in applying to be apart of our Optimal Health’s Youth Leadership Council? Just fill out the form below!
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Name
(required)
Email
(required)
Phone
Which school will you be attending this fall?
(required)
Select your school here
Lebanon High School
West Albany High School
Lacomb Middle School
Seven Oak Middle School
Sweethome High School
Lebanon Alternative Schools
Hamilton Creek
Pioneer School
Eddyville Charter School
Laketown Academy
Linn County Detention
Santiam Valley Middle School
Santiam Valley High School
Homeschool Groups
Other
What grade will you be in this fall?
(required)
Select your grade level here
7th
8th
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
Please list and describe any leadership experience you have had. This can include team captain, leader of a school group or a youth group, leading in any capacity in a club, etc. It is ok if you have not had these experiences yet. Simply answer N/A if this is the case.
(required)
Please briefly list and describe any extracurricular activities you participate in. (Sports, Clubs, Community Service)
(required)
Attendance at each Youth Leadership Council meeting is of the utmost importance. We understand that sometimes there are extenuating circumstances that prevent a student’s participation. Please specify your commitment level to the YLC meetings on a scale of 1-10. (1 is low, 10 is high.)
(required)
Please provide one name and phone number of a character reference for your application. This can be a teacher, coach, advisor or mentor, etc. (You cannot use a family member for this reference).
(required)
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