(YBC) Youth Business Council "My Space" Design Contest

This application provides us with a basic understanding of your interest in the MySpace.com Design Contest. We will contact you with information related to your interests and details of the program. Visit www.youthbusinesscouncil.groupsite.com for frequent updates.

Name


A red asterisk (*) indicates required questions.


  1. Last Name*


  1. First Name*


  1. Provide a contact email address.*


  1. Name of School/Church/Organization You Will Represent: *


  1. Identify your grade in school. 0 = Kindergarten, 1 = 1st; 12 = 12th; 13 = College; 14 = College Graduate/Graduate Student*
     
      1 2 3 4 5 6 7 8 9 10 11 12 13 14     Skip This Answer
    College  


  1. City (location of the school represented)*


  1. State (location of the school represented)*


  1. What is your college major/degree?


  1. Which Program(s) are You Interested In? Select all that apply.*
    Youth Business Council (YBC)
    Youth Government Assocation (YGA)
    TV/Radio/Internet Productions (CMP)
    Computer Sports League (CSL)


  1. Would you like to buy a tee shirt?*
    Yes/Maybe
    No


  1. Tee Shirt Size  *


  1. Briefly describe why you would like to participate in this program. Include 1-2 reasons.*





Errol A. Jones, M.Ed., MBA
Executive Director
Houston, TX