Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Youth on a Mission Application

  1. Youth on a Mission (YAM)

    The application deadline is October 14, 2019. For more information on YAM, please contact Council Member Chemberly Cummings at ccummings@normal.org or visit www.normal.org.

  2. Tell Us about Yourself

  3. Current Grade Level

  4. Languages Fluently Spoken

  5. If Applicable

  6. Race/Ethnicity

    check all that apply

  7. Gender

  8. Please respond to the following questions in 200-350 words.

  9. The letter must be signed and include name of person, position, email address, and phone number.

  10. By my electronic signature, I certify that the above answers are true.

  11. By my electronic signature, I certify that I am the parent/guardian of the applicant, and the applicant has my permission to submit this application and participate in in the YAM program.

  12. Leave This Blank:

  13. This field is not part of the form submission.