Leadership Greater Hartford


Young Legends Leadership Academy Application
Young Legends Leadership Academy (YLLA) is an initiative sponsored by United Way of Central and Northeastern Connecticut and is facilitated by Leadership Greater Hartford (LGH). YLLA will unite 25 dynamic young leaders between the ages of 18-29 for an experiential and progressive development opportunity. Hartford residents will receive primary consideration while other applicants will be considered on a case-by-case basis.
First Name *
Last Name *
Address 1 *
Address 2
City *
State/Province *
Zip *
Mobile Phone *
Primary Email (no school issued email addresses) *
Birth Date *	// (mm/dd/yyyy)
Race/Ethnicity (select all that apply) *	American Indian/Native American Asian/ Asian American/ Pacific Islander Black/African American / Caribbean Latino, Hispanic, Chicano/a/x Middle Eastern/ Arab White/Caucasian West Indian
Other, please specify here:
Gender Identity *
Other, please specify:
What are your areas of interests? (ex. passions, hobbies, college major if applicable, etc.)
What are your strengths? Challenges?
What, if any, volunteer experience/recognitions/program participation/ affiliations do you have?
Why are you interested in participating in the Young Legends Leadership Academy? What do you hope to gain from this experience?

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