The Colorado Family Leadership Training Institute (FLTI)
YOUTH Participant Application (Age 11 - 18)

Need to return to the ADULT Participant application? Click here

First Name (required) *

Last Name (required) *

Street Address (required) *

Address Line 2

City (required) *

Zip Code (required) *

Home Number

Cell Number

Email Address (required - make sure spelled correctly) *

Select Site (PLEASE SELECT YOUR DESIRED SITE FROM THE DROPDOWN MENU): *

What is your age? (required)
*

0/2 characters

What is your racial/ethnic background? (required) *

Are you applying for this training with an adult caregiver or mentor? (a response required) *

Yes

No

If so, what is your relationship with the adult caregiver or mentor? (required if you said yes above)

Also, please provide the adult caregiver's or mentor's name: (required if answered yes above)

How did you learn about the Family Leadership Training Institute (FLTI)? (required) *

Briefly explain what you know about FLTI: (required) *

Please provide the name of the individual who referred you to FLTI, if applicable:

Please respond to the following questions.

What skills would you like to learn and develop to become a stronger youth and family leader? (required)

*

What issues primarily concern you for children and youth in your community? (required)

*

In view of your concern(s) at this time, what would you like to focus on and develop a potential community/civic project? (required)

*

Make sure you selected the correct site above. I certify that all of the information provided in this application is accurate. (required)