ࡱ> WZVq` G bjbjqPqP 9,::DLLL`h h h h | d` $h&LccccF8Lc4L h .t0***L\Z@4S(cccc```d ``` ```  Youth Academy Application Form Contact Information NameAddressDate of BirthGenderLast QualificationPhone NumberE-Mail AddressOrganization If you are currently employed, please provide details below. Name of Organization Your Position/TitleName & Phone Number of Direct Supervisor Personal Statement Please attach a personal statement of not more that 3000 words (font size 14, 1.5 line spacing) and send to  HYPERLINK "mailto:contact@kncld.org" contact@kncld.org. Please note that hardcopy applications and personal statements will not be received. Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a student into the Youth Academy, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. 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