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PN-032324-A1
PN-032324-A8
Home
Leadership
About Us
Leadership – Founder & CEO
Services
Resources And Referrals
Shop
Universities
Research
TEXAS A&M UNIVERSITY
Xchange Breakfast
Xchange Breakfast Overview
Xchange Breakfast Guidelines
Breakfast Photos
Breakfast Survey
Youth Leadership Academy
Welcome
Curriculum Components
Registration
The Youth Academy
Parent Letter
Camp Dash Gallery
Gallery
Calendar / News
Print News Article
Video News Article
PN-032324-A1
PN-032324-A8
Registeration
Registration
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Registration
Disaster & Climate Change Youth Academy and Conference (DCCYA)
Student Name
FEMA Student ID
Age
Grade (Fall 2025)
Spring (2026)
School
City
Zip Code
Phone
School Email address
Parent’s Name
Parent’s phone
Email address
Do you consider yourself a leader?
Yes
No
How do you lead?
Message
Can you navigate online courses?
Yes
No
Are you interested in taking college level courses that focus on the following
a. Maritime / Petro-chemical
Yes
No
b. Climate Change
Yes
No
c. Disaster Management
Yes
No
d. Military
Yes
No
e. Law Enforcement
Yes
No
f. Urban Planning
Yes
No
g. Public Health
Yes
No
h. Nursing
Yes
No
i. Forestry
Yes
No
j. Emergency Services
Yes
No
k. Environmental Research
Yes
No
Are you available for field training/classes
i. After school hours
Yes
No
ii. Some Saturdays or weekends
Yes
No
iii. During a weeklong conference at school breaks
Yes
No
Do we have your parents’ permission to register you for the upcoming sessions
Yes
No
Parent’s Signature
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