Colorado Young Leader Introductory Survey

If you’re filling this out, you’re ready to join a movement of young leaders in Colorado. You’re ready to explore your world, discover your strength, live an adventure, and benefit your community in service to it.
This survey will help CYL staff get to know you so we can help connect you with your passions.

Your Name:*

First

Last

What school do you attend? *

Country:*

AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

What year are you? *

Freshman

Sophomore

Junior

Senior

Email Address: *

Phone Number: *

Address (Street, City, State, Zip Code) *

County

Guardian's Names

Guardian's Contact Email

Date of Birth*

Ethnicity*

Select valueHispanic or LatinoAmerican Indian or Alaskan NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite

Parent/Guardian Household Income*

Select valueLess than $25,000$25,000 to $34,999$35,000 to $49,999$50,000 to $74,999$75,000 to $99,999$100,000 to $149,999$150,000 to $199,999$200,000 or more

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Volunteer Experience

Does your school require community service hours? If so, how many? *

Do you volunteer in Colorado currently? If yes, please tell us where you volunteer. (If not, that's going to change quickly!)*

If you said yes above, how many hours per month do you currently volunteer? * If you don't currently volunteer, please put "n/a"

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Leadership… What is it?

List three qualities you feel every leader possesses.*

How do you define leadership? *

Why do you want to become a Colorado Young Leader? *

What strengths do you see in yourself?*

What has had the greatest influence on your leadership?*

What is your vision for your life? *

On a scale of 1-10, how much impact can you make on your community right now? *

1 = I have little affect on my community. 10 = I will change the world. *

1

2

3

4

5

6

7

8

9

10

Explain why you chose the number above in 1-3 sentences.*

Are you human?

SubmitReset

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