Date: July 25. Location: Marshall University Memorial Student Center, Huntington, W.Va. Applicants: Must be 6th-11th graders. Deadline: July 22.

Name*                                                                      Age*                              Gender (M/F)*

Address (include zip code)*

Applicant phone # (include area code)*

Parents name*

Parents phone # (include area code)*

E-mail*

School*                                                                              Grade*

Hobbies/Interests

Favorite team

T-Shirt Size*                                                   Parent permission to attend (Y/N)*                  Bring a friend (Y/N -- Name)

*Required field

APPLICATION
Mission Statement
2018
The program is designed to inspire and educate Huntington area youth through various channels
such as speakers and practical applications. It addresses the importance of setting goals, having aspirations and
being able to achieve those goals/aspirations through clear and concise directions, hard work and unwavering dedication.
2018