American Legion Boys State of Kansas 2018 Application.

Please complete the following questions.


* Denotes a required field
    ver 6.1.18
First Name *
Last Name *
Mailing Address *
City *
State *
Zip *
E-Mail address *
(A confirmation e-mail and an information packet will come by e-mail, so a valid account is critical.
Please add troy.fowler@ksbstate.org
as a contact to your primary account to avoid information going to a junk mail folder (especially if you use GMAIL).
We recommend that you NOT use a school email address.)
T-Shirt Size * S
M
L
XL
2-XL
3-XL
What is your date of birth? *
(MM/DD/YYYY)
YOUR Cell Phone Number
(area code) ###-####
If you entered YOUR cell phone, is it a 'Smart Phone'?
Yes
No
Name of Parent/Guardian *
Parent/Guardian Home Phone *
(area code) ###-####
(if no phone, enter "N/A")
Parent/Guardian Work Phone *
(area code) ###-####
(if no phone, enter "N/A")
Parent/Guardian Cell Phone *
(area code) ###-####
(if no phone, enter "N/A")
Parent/Guardian Address,
City, State Zip *
In Case of Emergency (and parent/guardian is not available), Please Contact NAME *
In Case of Emergency (and parent/guardian is not available), Please Contact PHONE *
What is your race? (OPTIONAL)
White
Black or African American
Hispanic or Latino
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Other
What is the name of your hometown newspaper? *
What is the name of your high school? *

Please give the degree to which you agree or disagree with the following statements.
Respond using this scale: 1 - Strongly Agree 2 - Agree 3 - Disagree 4 - Strongly Disagree

The reduction of government bureaucracy is more important than preservation of the services it provides. * 1 - Strongly Agree
2 - Agree
3 - Disagree
4 - Strongly Disagree
Wealthy people should be taxed at a higher percentage than poor people. * 1 - Strongly Agree
2 - Agree
3 - Disagree
4 - Strongly Disagree
The government should provide for those who cannot provide for themselves. * 1 - Strongly Agree
2 - Agree
3 - Disagree
4 - Strongly Disagree
Affirmative action policies result in more harm
than good. *
1 - Strongly Agree
2 - Agree
3 - Disagree
4 - Strongly Disagree
The freedom of speech, when in conflict with other rights, should be protected above all others. * 1 - Strongly Agree
2 - Agree
3 - Disagree
4 - Strongly Disagree
Medical Conditions/Concerns
Other Comments?


Home ]