CLICK HERE FOR CONFERENCE UPDATES AND INFORMATION

Student's Full Name: (required)
Parent's Full  Name: (required)
Date of Birth: (required)	(Format: mm/dd/yyyy)
High School and Grade Level: (required)
Home Address (including city and zip code): (required)
Daytime Telephone: (required)	(Format: xxx-xxx-xxxx)
Other Telephone: (required)	(Format: xxx-xxx-xxxx)
Email: (required)
Contact Information in Case of Emergency
Full Name: (required)
Relationship to the Student: (required)
Daytime Telephone: (required)
Student's Special Interests & Hobbies: (required)
Essay Question: Why would you like to participate in the Summer Youth Education Conference? (required)

Please Email  to verify receipt of your application.

---

Free viewers are required for some of the attached documents. They can be downloaded by clicking on the icons below.