Cobb Youth Leadership Applications

Cobb Youth Leadership Application 2023-2024


   Before filling out the online application, please read over the documents provided in the links below.

*In case of technical difficulties, may we suggest answering and saving your responses in Microsoft Word. Then copy and paste your answers in the fields below.


Recommendation Letter Program Dates Parent Commitment Form

This application must be completed in its entirety

I. BASIC INFORMATION

*First Name:
*MIddle Name:
*Last Name:
*Name Called:
*Date of Birth:
*Sex:
*Race:
*Mailing Address:
*City:
*Zip Code:
*County:
*Home Phone:
*Mobile Phone:
*Email Address:
*Family Email Address:
*Father Name
    *Emergency Number
*Mother Name
   *Emergency Number

II. ACADEMICS

Will You be a Junior in August 2023?
High School
Grade Point Average
Academic honors received (please list)

III. CURRENT EXTRA-CURRICULAR ACTIVITIES:

List any school activities, clubs or teams you participate in.
Are you involved in any community or volunteer activities?
If you are currently employed, please list you job(s).

IV. LEADERSHIP EXPERIENCE:

List offices/leadership positions held in clubs or organizations, projects you directed/initiated if applicable.


What personal characteristics/qualities do you have that you feel give you the potential to be a leader?

What are your plans after high school graduation?

If you are selected, how could Cobb Youth Leadership help you in achieving the above?
Are you related to a Leadership Cobb Graduate? (This is the adult version of Cobb Youth Leadership. This is not a guarantee for acceptance, but simply something to be noted on the application.)
    If so, who and what is your relation?

V. TUITION FEE:

A tuition fee of $800 is required to help offset the cost of materials, meals, lodging and bus expenses. The Leadership Cobb Alumni Association may provide a scholarship (one per year) to someone requiring financial assistance based on need.

Will you be needing financial assistance in order to participate?

VI. PARTICIPATION COMMITMENT:

1. If selected, participants will need to make a commitment of their time and ALL program events.
Participants that fail to attend any activity for any reason, may not be allowed to complete the program and his/her tuition fee will be forfeited.

2. Applicants for the Cobb Youth Leadership Program must have the support and commitment of their parents or guardians.
Click here for the parent or guardian commitment form.

3. Participants in the Cobb Youth Leadership Program are encouraged to share what they learned with their fellow classmates.

If you understand the participation guidelines, please place your initials in the box as your signature.



*Deadline for applications is Sunday, May 7, 2023 at midnight.

Your application will not be complete without a recommendation letter and the parent/guardian commitment form. Forms can be returned by email, mail or in person.

For questions please contact Katie Guice at 770-859-2334 or kguice@cobbchamber.org.