YJ Teens Scholarship Request Form
Which upcoming YJ Teens event are you requesting a scholarship for?
If you are requesting scholarships for more than one event, please complete separate forms for each request.
Participant Email
Participant First Name
Participant Last Name
Home City
Home State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Parent Email
Parent First Name
Parent Last Name
How will you be traveling to this event?
Flying from out of state
Taking a bus/ ride-share from a YJ meetup point
Driving, or being driven to, event location
Other
Please elaborate on your travel plans:
Please indicate the circumstances around your scholarship request:
Contact Information