Young Women's Leadership Program
Turning Strength into Leadership
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The “Spirit of Leadership” Award
The “Spirit of Leadership” Conferences
Young Women’s Leadership Workshops
“Girl Talk” Sessions
“Passport To Success” Certificate Program
2010 Program Schedule
“Girl Talk” Sessions
The 13th Annual High School “Spirit of Leadership” Conference
Spirit of Leadership Conference Registration
2009 Program Schedule
2008 Program Schedule
Jenna Druck Foundation
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Middle School Student Group Nominations
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Miriam Jewels
Spirit of Leadership Conference Registration
Register Here!
"Girl Talk" Workshop
April 28
th
Session 2
Purchase Miriam Jewels
and Support Young Women’s Leadership
Mentor Application
Contact Information
First Name
(required)
Last Name
(required)
Phone
(required)
Email Address
(valid email required)
Title
(required)
Organization
(required)
Street Address
(required)
City
(required)
State
(required)
Zip Code
(required)
Referred By
Please note that professional contact information is printed in our mentor directory which is program provided to all mentors, workshop speakers and attendees at the event.
Professional Reference
First Name
(required)
Last Name
(required)
Organization
(required)
Phone
(required)
Email Address
(valid email required)
Relationship
Professional Reference
First Name
(required)
Last Name
(required)
Organization
(required)
Phone
(required)
Email Address
(valid email required)
Relationship
Additional Information
How did you hear about the Young Women’s Leadership Program?
Do you speak any languages other than English?
Previous Volunteer Experience
List any community service organizations or clubs to which you have belonged:
List any hobbies or special interests you have:
Have you had any past or do you have any current involvement with the Health and Human Services Agency (Child Protective Services)? If yes, please explain.
Have you ever been convicted of a crime in this or any other state? If yes, please explain.
Have you previously worked with youth in middle and/or high school? If yes, please explain.
I am comfortable working with youth in:
Middle School (Grades 6, 7, 8)
High School (Grades 9, 10, 11, 12)
Both
Are you comfortable facilitating small group discussion?
Yes
No
How would you describe yourself as a person? Include the qualities that you posses to be a good mentor.
Describe how you have been and are currently a leader in your own life professionally, personally, with your family, and community. (Please limit to 500 words)
Demographic Information (optional):
It is the policy of this organization to provide equal opportunity to all registrants without regard to race, color, religion, national origin, sex, age, veteran status or disability. Many of our donors and funders are interested in knowing who we serve so we gather demographic information for this purpose.
Race/Ethnicity
American Indian
Asian American
Black or African American
Hispanic or Latina
Native Hawaiian/Pacific Islander
White or Caucasian
Undisclosed
Age Range
18–24
25–39
40–54
55–65
65+
Education
High School
Some College
College Graduate
Graduate Degree