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Home
About NABSE
Our Mission
Our History
Our Board
Our President
Our Past Presidents
Commissions
Big 6 Priorities
NABSEF
Membership
NABSE Documents
NABSE Affiliates
Conference/Events
Event Calendar
2019 National Conference – Dallas, TX
2019 Call For Workshop Proposals
Submit Announcement/Event
Programs
Services
NABSE Consultants
NABSE Speakers
Resources
Connect
Announcements
Volunteer
Jobs/Careers
Career Center
Executive Director Search
NABSE Store
AA YOUTH MALE LEADERSHIP SUMMIT-2019
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Programs
AA YOUTH MALE LEADERSHIP SUMMIT-2019
African American Male Youth & Adults Are Invited To Participate!
Dowlnload Youth Participant Form
View Chaperone Overview
Download AAYMLS Flyer
AAYMLS Chaperone / Volunteer / Mentor / Speaker / Presenter Application
PART I: Individual Information
This section is required only for those interested in speaking and/or presenting during the summit.
Name
*
Prefix
Mr.
Mrs.
Miss
Dr.
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Home Phone
*
Cell Phone
*
Job Title
*
Company/Business
*
Email Address
*
Drivers License #
*
Drivers license numbers are used to complete a background check that will allow you to work with students.
Phone Number
*
Educational Background
*
College/University
Community College
Trade School
Other
T-Shirt Size
*
Small
Medium
Large
XLarge
XXLarge
XXXLarge
XXXXLarge
Are you a member of NABSE?
*
Yes
No
Experience Working with Teenagers:
*
Have you presented to teenagers before? If yes, when and on what occasion?
Special Talents and Skills
*
List any special talents or interest you can share with small groups of boys during the “fun time”. (i.e. I can play chess and teach others how to play.)
Area(s) of Interest in Working with AAYMLS:
*
Check all that apply.
Chaperone
Volunteer
Mentor
Presenter/Speaker
Consent
*
I, certify that the above information is accurate and true to the best of my knowledge. In addition, I give permission to AAYMLS and dr/Nabse to release information contained in this application to NABSE. I understand that AAYMLS will keep all personal information confidential and my background checked information will be destroyed at the end of the summit. I give permission for my photo to be used in the Summit video and on NABSE’s and NABSEF’s website.
Participant Agreement & Consent
PART II: Presenter/Speaker Information
This section is required only for those interested in speaking and/or presenting during the summit.
Please select the summit conversation topic you would like to support.
*
Digital Privacy and Social Media Responsibility
Finance, Budgeting and Student Banking
Strategies to defuse Police Confrontation-When the Police Comes Knocking
College is the Goal – How to get there
Leadership-Are You in Control of Your Destiny?
Etiquette in Today’s World
Healthy Habits - Your Actions Today Will Affect Your Tomorrow
Do’s and Don’ts - Social Interactions with the Ladies
First Impressions are lasting - Maximizing Your Moment
The Greatness in You – The Shoulders on Which You Stand
Upload an Abstract of Your Session Topic
Your session abstract will tell attendees why they should attend your session. To be effective and create interest, it should provide a brief, clear and concise reflection of your presentations’ content. Please also list at the end of your abstract, three outcomes the young men will take away with them.
Drop files here or
Become a Chaperone/Volunteer/Mentor/Speaker/Presentor
NABSE AAYMLS Summit Conversation Topics
1. “Digital Privacy and Social Media Responsibility”-
2. “Finance, Budgeting and Student Banking”
3. “Strategies to defuse Police Confrontation-When the Police Comes Knocking”- Taken as of 3-15-2019
4 “College is the Goal – How to get there”
5. “Leadership-Are You in Control of Your Destiny?”
6. “Etiquette in Today’s World”
7. “Healthy Habits - Your Actions Today Will Affect Your Tomorrow”
8. “Do’s and Don’ts - Social Interactions with the Ladies”
9. “First Impressions are lasting - Maximizing Your Moment”
10. “The Greatness in You – The Shoulders on Which You Stand
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