Midland County Youth Leadership Application Form

The Midland County Youth Leadership Program will take place March 7-8, 2025.

All students will need to have the application submitted by the deadline of December 13th, 2024. Applications must be turned in online.

Students are eligible to apply if they meet one or more of the following criteria:

Attend a Midland City school (e.g. Dow High, Midland High)
Attend a Midland County school (e.g. Bullock Creek, Coleman, Meridian)
Are a resident of Midland County (includes home-schooled and virtual students, students that attend private schools, and students that live in Midland County but go to school outside of Midland County)

In order to complete this online application you will need to:

Fill all fields below, including answering the essay format questions as completely as possible.
Upload one letter of recommendation from an individual who knows you as a leader or as a potential leader, whether that be in school or outside of school (ex. teacher, coach, neighbor, advisor for an extracurricular, please no relatives.)

Tuition for the program is $25 if selected to participate. Please note that this is a suggested donation amount that helps us plan and execute a successful program. If you would like to opt-out of making this donation, please select the necessary option below. We will reach out separately at a later date for tuition payments only to those who opt-in below AND are accepted into the program.

Questions: email .

Donation Opt-In *

Yes, I would like to opt-in to the $25 donation
No, I would like to opt-out of the $25 donation

Applicant Information

Name *

First Last

Prefer to be called (nickname):

Gender Identity *

Male
Female
Non-binary / third gender
Transgender Male
Transgender Female
Prefer not to respond
Prefer to self-describe

Self-describe: *

Address *

Street Address Address Line 2 City State ZIP Code

Student's Phone *

Student's Email *

Note: There is a known issue that is being addressed, where Gmail is unable to accept emails from Northwood University’s online forms service. While you are still able to submit your application using Gmail email addresses, you will not receive a confirmation email. If you submit your application and do not receive a confirmation email, please feel free to reach out to MCYouthLeadership@gmail.com to confirm that your application has been received.

T-Shirt Size *

S
M
L
XL

School *

Name of Parent/Guardian *

First Last

Parent/Guardian Daytime Phone *

Parent/Guardian Email *

Please upload your letter of recommendation here. *

Extracurricular Activities *

Please list the activities you have been involved in over the past three (3) years. Include the number of years involved, your role and contribution to the activity, and any special honors or recognition if applicable. After entering one activity, click the plus on the far right to add another activity. Include school, community/volunteerism, church and extracurricular activities.

Activity	Years	Role, Contribution, and/or Recognition

Essay Response

Please answer as fully and completely as possible in paragraph form, making sure to prioritize quality over quantity. We suggest typing your responses in a separate document and copying them in when you are ready to submit your application.

Choose one of the activities you listed above and elaborate on how it has influenced your development as a leader. *

Share a time where you had to adjust your ideas to incorporate the ideas of others (ex: group projects, sports teams, relationships, etc.). What lesson(s) did you learn from this experience? *

Who is someone in your personal life that you admire? Discuss what leadership attributes they have and how you could incorporate them into your life. *

Give an example of a time when you were a proven leader, what strengths did you utilize? *

Give an example of a time when you weren’t a leader. What did you learn about yourself and your leadership development from this experience? *

Name a leadership trait you struggle with. How would you like to develop this trait? How would you envision a leadership training supporting your interests and/or passions as a leader? *

Interview Information

Interviews will be held on January 21st and 22nd, 2025. Additional details and sign-up information will be communicated via email. Please monitor your email accounts over the coming weeks to sign up for your interview! If you do not receive an email before January 10th, 2025, please email us at .

Phone

This field is for validation purposes and should be left unchanged.