[Durham INC] Free Youth Leadership

[pinnaclecdc at aol.com]

Durham  Together for Resilient Youth  
Please print legibly:  
YOUTH  LEADERSHIP INTENSIVE  
9:30  AM – 11:30 AM  
SATURDAYS:  JUNE 20, 2009 JULY 18, 2009 AUGUST 15, 2009   
Where:  Eastway Elementary School Auditorium   

APPLICATIONS  ARE DUE ON OR BEFORE JUNE 8, 2009   
Youth  and adults teach skills to work in the community!   

Durham  Together for Resilient Youth  
is  accepting applications for Youth 14 – 16 yrs old to attend a  free 
Youth Leadership Intensive program!  

Address  not just Talk About problems that concern you!   
Be  an example to kids younger than you!  
Attend Summer  End Retreat!  
Meet  with elected officials!  

Apply  to be a Youth Facilitator upon successful completion  
(paid  stipend - must be 16 years old).  

COMPLETE  BELOW AND RETURN   
PARTICIPANT  INFORMATION   
Contact  Wanda Boone for more information: 919-491-7811   
Respond  to: _DurhamTRY at yahoo.Dur_ (mailto:DurhamTRY at yahoo.com)    
Name:   
First   
Last:   
Gender:  Male  or   Female                                                  
                          
Address    
City:  DURHAM, NC   
Zip    
Phone    
E-mail:   
What  Grade are you in? (circle)   8   9    10      
What  School do you attend?   
Date  of Birth:  
Age:    
If  I could work on one problem in my neighborhood, community or school it  
would be: (Must  complete)   
PARENT  OR GUARDIAN INFORMATION (MUST  INCLUDE)   
30  minute Orientation for Parents on June 20, 2009   
Parent/Guardian  Name:  
Name:   
First    
Last:   
Do  you need an interpreter (Spanish) YES___  NO ___  
Address    
City:  DURHAM, NC     
Zip    
Phone    
E-mail:    
<O>Questions:  Wanda Boone 919-491-7  


YOU  WILL BE INFORMED OF ACCEPTANCE ON OR BEFORE JUNE 15, 2009



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