Youth In Government Online Application

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Please correct the field(s) marked in red below:

Thank you for your interest in the Youth In Government Program. Please complete all information on this application. Applications for the current year are accepted until December 31, 2018.
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Date:
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First Name:
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Last Name:
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Address:
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Zip code:
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Phone Number:
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Email Address:
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Grade:
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Grade Point Average:
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Grade Point Scale:
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What are you involved in? (i.e. Clubs, Athletics, etc. inside/outside school)
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Future aspirations:
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Briefly explain why you are interested in the Youth in Government program:
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How did you find the Youth in Government Program?
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