To be considered for Native Action Network's 5th Annual Young Native Women's Leadership Academy, please fill in the information below as completely and accurately as possible.  You are NOT able to save this form and return to it, so you should complete your responses in a Word document and cut and paste your responses into the electronic application to avoid losing your responses.
Selected participants will receive two nights lodging at Great Wolf Lodge, food, and registration fees for the 11th Annual Native Women's Leadership Forum.  May 21st is the opening reception for both the Youth Academy and the Native Women's Leadership Forum followed by an orientation session.  May 22nd will be spent interacting with an intergenerational gathering of Native women and May 23rd will be spent with your Youth cohort focused on personal development. 
Applicants should be a senior in high school or a college student.  The deadline to apply is April 17, 2015.  Selected applicants will be notified on May 1, 2015.

Student Information

Personal Info

Graduates of the Youth Academy receive a Native Action Network jacket upon graduation. Please indicate your size by selecting one of the buttons below. *

School Information

Recommender Name

Personal Essay - Must Complete

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High School Students Only - Family Contact Information

All applicants - Emergency Contact Information


I verify that the information submitted through this application is true. I understand that this application is for the 2015 Native Action Network Young Women's Leadership Academy. The information gathered will be kept confidential and will not be released to others or used for other purposes. I understand that this application is for a leadership academy and that the applicant is expected to be in attendance for the entire program. I understand that the applicant will be subject to the rules of the program. In the event of an emergency, I authorize medical treatment as deemed necessary by competent health personnel. *
Native Action Network
815 1st Ave. #113
Seattle, WA  98104
Web Address:
Questions:  360 689-5856
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