YMCA Texas YG College Student Application

Thank you for your interest in being part of the YMCA Texas YG College Staff. Applicant must have completed one complete program year in Youth & Government. Applicant must be out of the YG program one year prior to applying to be college staff-exceptions will be made, please contact State Director to see if you qualify to be exempt. If assisting at the State Conference in Austin, TX please understand that lodging is on your own unless your previous delegation will be hosting you. Verify with the District Director or your previous delegation leader.

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* First Name:

Middle Name

* Last Name:

* Are you currently involved with a YMCA, if so indicate which YMCA? If you are not, indicate by typing NA.

Occupation:

Employer:

* Are you over 18?

* Are you a YG Alumni?

College or Unversity street address if you are currently not residing at home:

Address Line 2

City

State

Zip Code

College Phone Number

* Email

* Verify Email

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Phone #:

Mobile Phone:

* Home Address:

* City:

* State:

* Zip Code:

* Year in College

* Indicates Response Required