Alaska PYLI Application

Leadership begins with YOU!
Are you between the ages of 13 to 18? Apply today to the Alaska Points of Light Youth Leadership Institute today and *Catch the Spirit*!

Register Today!

26th Annual Alaska PYLI Spring Break Leadership Training
March 13 - 17, 2023

Anchorage Community Corps Center from 8:30AM - 5:00PM

Application deadline for 2023 Alaska PYLI: February 28, 2023

Interested students can apply using one of the three ways:

Complete the online application form (below).
Complete the application via Google Forms
Download the application here and submit a completed version by email to alaskapyli@gmail.com OR by mail.

Registration for participation ($100) covers the cost of training materials, t-shirt, and graduation certificate. Need based scholarship assistance is available upon request. Registration fees can either be paid via check or online with a tax-deductible donation to Alaska Points of Light Youth Leadership Fund using the “Registration Fee” link below.

*Please note: This online application form cannot be saved and revisited. Please be prepared to complete in its entirety before submitting.

Registration Fee

Applicant Information

Name

First Name

Last Name

Phone

(###)

###

####

Mailing Address (primary)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address (secondary; optional)

If you have more than one address, please include that information here.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School Information

Please provide us with a little more information about your school.

Grade

School Name

What school do you currently attend?

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parental Consent

Completion of this section is an indication of parental (or personal) consent to participate in Alaska PYLI.

Parent/Guardian Name

First Name

Last Name

Participation Consent

My child is under the age of 18 and has my parent consent to participate in Alaska PYLI.

I am over the age of 18 and do not require parental consent.

Additional Parent/Guardian Information

First Name

Last Name

Reference

Please provide the name and contact information of an adult who can serve as a professional, academic, or character reference.

Adult Reference

First Name

Last Name

Title or Affiliation

Email or Phone (Best Contact)

Student Application

For each of the following questions, please provide a brief answer (300-500 words or less per question)

Who are you? How would you describe yourself?

300 words or less

Why are you interested in Alaska Points of Light Youth Leadership Institute?

300 words or less

What does leadership mean to you?

500 words or less

How are you currently involved in your community?

500 words or less

How do you see yourself using your leadership skills to get other young people involved in your community?

500 words or less

What other interests, hobbies, goals, significant experiences or plans for the future that you would like to share?

300 words or less

Registration Fee & Assistance

Please submit your complete registration fee of $100 via this site or by check. Alaska PYLI is pleased to offer scholarship options to those that may require financial assistance.

Payment Method

I am requesting partial assistance for the following amount:

Please make checks payable to Alaska Points of Light Youth Leadership Institute and mail to:

Alaska PYLI 26
c/o Jack White Real Estate
3801 Centerpoint Drive Suite # 200
Anchorage, Alaska 99503

Alaska PYLI Application

Register Today!

26th Annual Alaska PYLI Spring Break Leadership TrainingMarch 13 - 17, 2023

Application deadline for 2023 Alaska PYLI: February 28, 2023

Alaska Points of Light Youth Leadership Institute

26th Annual Alaska PYLI Spring Break Leadership Training
March 13 - 17, 2023