Youth Scholarship Application

Information

The application for CADCA’s 37^th Annual National Leadership Forum Scholarship program is now open!
Deadline: Oct. 1

First Name [REQUIRED]

Last Name [REQUIRED]

Youth's DOB [REQUIRED]

Applicant's Age [REQUIRED]

Email Address [REQUIRED]

Coalition or Organization Name

Are you or your organization a current CADCA member? [REQUIRED]

Yes

Coalition Adult Advisor / Mentor First and Last Name [REQUIRED]

Coalition Adult Advisor / Mentor's Email Address [REQUIRED]

Are you located outside the U.S.? [REQUIRED]

Yes

If you are from outside the U.S, please enter the country

Applicant's Gender [REQUIRED]

Applicant's Ethnicity [REQUIRED]

American Indian or Alaskan Indian

Asian or Pacific Islande

Black or African American

Hispanic or Latino

White (non Hispanic)

Other (Please specify)

Have you attended CADCA's Leadership Forum in previous years? [REQUIRED]

Yes

Have you received a scholarship to a previous Mid-Year or Forum? [REQUIRED]

Failure to respond truthfully to this question will result in automatic disqualification.

Yes

What is your coalition's/organization's primary geographic target area? [REQUIRED]

Frontier

Urban

Rural

Suburban

Youth applicant's current role in Coalition / Organization? [REQUIRED]

How long have you been involved in your coalition/organization? [REQUIRED]

How do you think the training received at CADCA’s Leadership Forum will benefit you and your organization/community? [REQUIRED]

Provide an example of a recent project you participated in that supported your community or organization. [REQUIRED]

If selected, do you have parental permission to attend CADCA's National Leadership Forum? [REQUIRED]

Yes