if (application.executiveposition.selectedIndex == 0 ) { alert ("Please select your EXECUTIVE BRANCH OFFICE OR POSITION."); return (false); } if (application.review.checked == false) { alert("You must check the box indicating you have reviewed the Participant Handbook, Student Participation Agreement, and Qualification and Duties for Office."); return (false); } return true; } //-->
Executive Branch Program Application

Please complete the following application to register for the Executive Branch Program. You must be in a delegation and complete all required fields to register for the program. You also must turn in the Student Participation Agreement and Medical Form to your delegation advisor.

All program applications must be completed by September 19, 2007. If you have any questions about or trouble with the application, please contact Ken Hussey at khussey@jcymca.org.

Please note the following:

  • This form works best when JavaScript is enabled.
  • All items marked with an asterisk (*) must be filled out to complete your registration.
Student Information
* Have you participated in YIG before?
  
Please enter all information.

Please indicate if you have PARTICIPATED IN YIG before. This will assist with registering you for the program.

Your PREFERRED NAME will be the name used in YIG correpsondence and on your name tag at the State Convention.
* First Name:
* Preferred Name:
* Last Name:
* Sex:
  
* Date of Birth:
/ /
* High School Graduation Year:
* T-Shirt Size:


Warning: main(_contactinfo.php): failed to open stream: No such file or directory in /home/moyig/public_html/webforms/_mainform.php on line 6

Warning: main(): Failed opening '_contactinfo.php' for inclusion (include_path='.:/usr/local/lib/php') in /home/moyig/public_html/webforms/_mainform.php on line 6

Delegation Information
* Select Delegation:
Please select your DELEGATION from the drop-down menu.

If your DELEGATION is not in the menu, please select "Not Listed" and type your delegation's name in the text box below the menu.
* Delegation:

Program Selection
* Program Area:
Please select your PROGRAM AREA. A new box will appear below with questions specific to your PROGRAM AREA. Please answer all questions.


Executive Branch Position
Please select your Executive Office or Position for 2006.
* Office / Position:


Fatal error: Call to undefined function: executiveposition() in /home/moyig/public_html/webforms/executive.php on line 34