Youth Leadership Birmingham Nominations

Please complete the form below to nominate a qualifying 10th or 11th grade student.

Nominations are due by Sunday, August 24, 2025. All nominees will be invited to apply in late August.

Nominator's Name*
(Name of the person nominating a candidate for Youth Leadership Birmingham.)
Nominator's Email Address*
(We will only use this email address to contact you with any questions.)
I am a*
- Teacher or School Official
- YLB Alum
- Leadership Birmingham Alum
- Other
Have you let this student know you are nominating them?*
- Yes
- No
(It is very important that students understand the time commitment and attendance requirements before applying. We encourage everyone to have a conversation with the student before nominating them.)
Relationship to Candidate*
(Please describe how you know the candidate.)
Candidate's Full Name*
Candidate's Email Address*
(Please double check for accuracy. Applications will be sent to this email address.)
Candidate's High School*
Candidate's Grade for the 2025-2026 School Year*
- 10th
- 11th
What makes this student a good candidate for Youth Leadership Birmingham?*