2016 Chicag Chinese Youth Leadership Award Application Form
2016 CCYLA Program Committee
Date of Birth:
2015 GPAs (Fall/Spring):
Reference 1 Information
Reference 2 Information
Nominating Chinese School or Local Chinese Community Organization
Chinatown Chicago Chinese School 芝加哥中文学校
Fenghua Academy 风华中文学校
Hyde Park Chinese School 海德园中文学校
Ray Chinese School 瑞华中文学校
Xilin Asian Community Center 希林中文学校
Xilin Foundation Lake County 希林湖郡中文学校
Xilin Northwest Chinese School 希林西北中文学校
Xilin North Shore Chinese School 希林芝北中文学校
Xilin North Chinese Education Center 希林北郊教育中心
Xilin UIC Chinese School 希林中文学校
Local Chinese Community Organization
If select Local Chinese Community Organization, please fill in line below.
-- Please submit this form by January 25, 2015.
-- If the number of submitters less than the minumum size of applicants by the date, we will extend the date until the minimum size reached.
-- Applicant is allowed to submit multiple times. Only the latest submission will be taken.
-- Please read the
CCYLA Program Announcement
before submit this form.
-- Applicant does not requir to be a student/member of his/her nomining Chinese school or local Chinese community organization.
-- The nominating local Chinese community organization has to be active with 100 or more members. Or it's a group member of CAAGC. CCYLA program committee has the right to do the final judge if the orginazation is qualified to nominate applicants. You can ask the leader of the orginazation to contact CCYLA program committee about the qualification.
-- After complete this form, please send your application documents to your nominating schools or nominating organization and cc to firstname.lastname@example.org .