The 2012 Georgia Youth Summit is a leadership conference for youth and adults aimed at fostering local community change, scheduled for September 8th-9th at Rock Eagle 4-H Center. Open to 8th-11th graders, the summit encourages youth-adult partnerships and provides resources for addressing local issues, with scholarships available for participants. The event will also include a specific military youth team representing various branches of the military, coordinated by Marcus Eason.

1. Time for the 2012 Georgia Youth Summit!
The Georgia Youth Summit is a statewide leadership
conference for teams of youth and adults, sponsored
by the Georgia Department of Community Affairs.
The Summit is designed to prepare the next
generation of Georgia leaders by providing youth with
knowledge, resources and encouragement to create
positive change in their communities.
The primary objectives of the conference are to:
1. Create an awareness of state/local issues.
2. Enhance youth-adult partnerships on the
local level.
3. Equip youth to become active locally in the
betterment of their community
When is Youth Summit?
UPDATED SUMMIT DATES-This 2012 summit will take place September 8th-9th at Rock Eagle 4-H Center in Eatonton, GA.
Registration will start at 10:30 am and the opening assembly will start at 1:00 pm, on Saturday the 8th.
The Summit will conclude at 3:00 pm on Sunday the 9th. Overnight accommodations on the 7th will be available, based on need.
Who Can Attend?
This event is open to current 8th-11th graders who are interested in making a difference in their community. The Summit is open to
members from all youth serving organizations. Each county is asked to bring one team to Youth Summit.
Adult Chaperones
Adult chaperones should be 21 years of age, complete the Georgia 4-H overnight chaperone training certification, and provide required
documentation for the UGA College of Agriculture and Environmental Sciences screening process.
How Much Does it Cost?
The Georgia Department of Community Affairs provides scholarships for 4 youth and 1 adult from every county in Georgia. Scholarships
cover meals, lodging, educational programs and recreation activities. Teams consist of 4 students and an adult chaperone.
Military Team
Along with County Teams, the 2012 Georgia Youth Summit will host a team of Military Kids! Each branch of the
Service will be represented by Georgia youth who have a parent(s) in the Military. These Military Youth will work as
their own 'Military Specific' Team and be housed together during the summit. These youth will NOT count against
their home county’s scholarship limit. Selection and registration of this military team will be coordinated by Marcus
Eason, Operation Military Kids Coordinator.
How Can I Register?
To register to apply for the Military-Specific Youth Team please complete the attached application and mail to Marcus Eason, 303 Hoke
Smith Annex, The University of Georgia, Athens, Georgia 30602.
For more information please contact:
Marcus Eason
Operation Military Kids Coordinator
303 Hoke Smith Annex, The University of Georgia
Athens, GA 30602
Office: (706)542-4444
Fax: (706) 542-4373
marcuse@uga.edu

2. 2012 Youth Summit Conference
September 8th-9th, 2012
May 8, 2012
To: Prospective Youth Summit Delegates
From: Marcus Eason, Operation Military Kids Coordinator
RE: Delegate Application
Thank you for your interest in the 2012 Georgia Youth Summit. Through generous support from the
Governor and General Assembly, the Summit is a collaboration of the Georgia Department of
Community Affairs and Georgia 4-H Youth. The event is set for September 8th -9th at the Rock Eagle
4-H Center near Eatonton. The program kicks off at 10:30 AM Saturday and concludes at 3:00 PM on
Sunday.
Each branch of the military: Army, Marines, Navy, Air Force and Coast Guard will be represented by a
Georgia military youth. All applicants must be a dependant of a military member in the Active, Reserve
or Guard component. Applicants must be rising 9th – 12th graders. We are seeking emerging leaders
that are interested in the future of their communities.
To apply for a spot on the Military-Specific Youth Summit Team, complete the following application
and submit to Marcus Eason by June 30th at 303 Hoke Smith Annex, The University of Georgia,
Athens, Georgia 30602. The selection committee will include a cross section of military youth
programs staff and youth development specialists that will review applications and select the council
members to form a diverse and cohesive group to represent the military youth of Georgia.
If you have questions, please do not hesitate to contact me using the contact information below. We
look forward to receiving your application.
A program coordinated through Georgia 4-H Youth
Marcus Eason, Operation Military Kids Coordinator
University of Georgia 303 Hoke Smith Annex Athens, GA 30602
marcuse@uga.edu Phone: (706)542-4444 Fax: (706) 542-4373

3. Youth Delegate Application
INSTRUCTIONS:
- Complete the application and submit to Marcus Eason by June 30th.
- All rising 10th and 11th grade students are encouraged to apply.
- Request a school teacher/administrator or community leader to complete the
recommendation and for them to submit it to Marcus Eason by June 30th.
First Name: Last Name:
Home Address:
City, State and Zip Code:
Phone Number: Email Address:
Sex (check one): Male Female
County:
Type of Education: (check one): Public Private Home School
4-H Member: (check one): Yes No
Does a parent, step-parent or sibling serve in the Military? (check one): Yes No
If yes, circle one: Active Duty Reserves National Guard Retired
If yes, circle one: Army Navy Marines Air Force Coast Guard
Emergency Contact Person:
Emergency Contact Phone Number: Home: Cell:
Application Consent:
I have read the promotional material and acknowledge this application for selection in the 2012 Georgia Youth
Summit. I understand that only 4 youth will be selected from my county and I will be notified of my status.
Selected delegates will receive further information and conference registration materials.
Parent or Guardian Signature Applicant Signature

4. Youth Delegate Application
Name:
County:
Briefly describe your involvement in the community. In what groups/organizations have you participated?
Briefly describe your involvement in the school you attend. If homeschooled, why?:
Briefly answer the following questions:
1) What are the greatest challenges, or issues, facing Georgia Military Youth today?
2) If you were “in charge” what would you do to address these issues?

5. Delegate Application Reference
INSTRUCTIONS:
- Complete the top section of personal information.
- Select a school teacher/administrator or community leader to complete the reference.
th
- Instruct the person to submit the reference to Marcus Eason by June 30 at 303 Hoke Smith Annex, The
University of Georgia, Athens, Georgia 30602.
To be completed by applicant:
First Name: Last Name:
County:
To be completed by reviewer:
Please circle the rating for each quality as it relates to your knowledge of the applicant:
1= Low Evidence of Trait 10= High Evidence of Trait
Leadership 1 2 3 4 5 6 7 8 9 10
Teamwork 1 2 3 4 5 6 7 8 9 10
Character 1 2 3 4 5 6 7 8 9 10
Healthy Life Choices 1 2 3 4 5 6 7 8 9 10
Decision Making 1 2 3 4 5 6 7 8 9 10
Goal Setting 1 2 3 4 5 6 7 8 9 10
Communication 1 2 3 4 5 6 7 8 9 10
Concern for Others 1 2 3 4 5 6 7 8 9 10
Additional Comments:
Name of Reviewer Title Signature
Submit Completed Reference by June 30th to:
Marcus Eason, 303 Hoke Smith Annex,
The University of Georgia, Athens, Georgia 30602