2026 Young Leaders of Bryan County Application

Name (First, Last) *

Preferred Name

Address Line 1 *

Address Line 2

City *

State *

Enter required value

Postal Code *

Cell Phone# *

Email *

Which High School do you attend? *

Enter required value Bryan County High School Richmond Hill High School

What grade are you? *

Enter required value Sophomore Junior Senior

Tshirt Size: *

Need your Tshirt size to place our order

Do you have any dietary restrictions or any allergies we need to know about? *

Parent #1 Full Name *

Parent #1 Cell Phone# *

Parent #1 Email *

Parent #2 Full Name *

Parent #2 Cell Phone # *

Parent #2 Email *

Please list your School, Sports, & Community Programs you have been involved with *

Include Organization, position(s) held and period of service(s)

Please list any honors and/or awards you've received

Include Organization, Name of Honor/Award, Year received

What do you hope to gain from YLBC? *

How do you plan to apply the knowledge you gain from the YLBC program to benefit your community? *

Program Requirements *

I understand that if I am accepted into the 2026 YLBC program, I will be required to attend the mandatory 4 class sessions and graduation. Attendance is mandatory to graduate. PLEASE INITIAL

1. Student *

•  By submitting this application, a participant is committing to participate (if chosen) in the YLBC. PLEASE INITIAL

2. Student: *

•  Once selected to the YLBC program it is the responsibility of the student to make necessary arrangements in order to attend each class session - students are expected to attend the entirety of all sessions. Sessions are scheduled during school hours. PLEASE INITIAL

3. Student: *

• The Bryan County Chamber will pair a business to sponsor each Young Leader participant's tuition payment of $650. If you have a business that would like to sponsor your tuition, please email tsandt@bryancountychamber.org. PLEASE INITIAL

Commitment - Teacher *

Do your teachers understand this commitment and support your decision? PLEASE INITIAL

Commitment - Parents *

Do your parents understand this commitment and support your decision? PLEASE INITIAL