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Louisiana National Guard
Youth Challenge Program
Camp Minden
Camp Beauregard
Gillis Long Center
Application Packet
for Class Beginning
April 12, 2015
Gillis Long Center in Carville, LA
1-800-CAMP-KID
(1-800-226-7543)
www.langycp.com
Facebook.com/LouisianaYouthChallenge
Youth Challenge Program
1-800-CAMP-KID
www.langycp.com
The Louisiana National Guard Youth Challenge Program offers at-risk youth an opportunity
to change their future in many ways while offering the opportunity to obtain a GED. The Youth
Challenge Program has two phases:
 5-month residential phase – Participants live in a military-like environment, which
encourages teamwork and personal growth. The curriculum combines classroom
work, community service, physical training, and challenging individual and team
activities into one unique experience. Personal needs such as meals, bedding, and
uniforms are provided to the participants. Participants must remain on site unless
participating in an authorized activity.
 12-month post-residential phase – After the 5-month residential phase, graduates
return to their home communities. During this time they will work toward achieving
their career or educational goals under the guidance of a volunteer mentor and
caseworker from Youth Challenge. The mentoring relationship is key to helping the
graduate continue with the positive changes that occur during residency.
Eligibility requirements
1) Applicant must be between 16 and 18 years old
2) Cannot be court ordered or sentenced
3) US Citizen or legal resident, Louisiana resident
4) YCP is a drug free program
5) No felony convictions
6) Once accepted to attend, the applicant can no longer be enrolled in school
Instructions to Apply to the Youth Challenge Program
1. Hand carry completed application to one of the interviews listed on the interview
schedule.
2. Every applicant MUST attend an interview. Refer to the interview schedule included in
this packet for location, dates and times nearest you. The interview schedule is provided in
each application packet. You may access the interview schedule on the website at
www.langycp.com or you may call 1-800-CAMP-KID.
YCP DOES NOT EXCLUDE ANY PERSON BASED UPON RACE, COLOR, NATIONAL ORIGIN, GENDER OR RELIGION
Youth Challenge Program Application
April 12, 2015 Class at the Gillis Long Center in Carville, LA
DO NOT MAIL THIS APPLICATION
Hand carry this completed application to one of the interviews listed on the reverse side.
Applicant Information
Have you ever applied to Youth Challenge before?
Last Name
No
First Name
Date of Birth
Ethnicity
Yes
Middle Initial
Age
White
Black
Gender
Hispanic/Latino
America Indian
Number in Household
Family Income
Home Phone
Parish
Asian
Less than $15,000
$35,000-$45,000
Male
Female
Native Hawaiian
$15,000-$25,000
Greater than $45,000
$25,000-$35,000
Mailing Address
City
State
Zip Code
Last School Attended
Legal Guardian Only
Relationship to applicant:
Parent
Step-parent
Last Name
Grandparent
Sibling
Other____________________________
First Name
Middle Initial
Home Phone
Work Phone
Cell Phone
Alternate Phone
Mailing Address
City
State
Zip Code
Email Address
Please complete the following only if you have a second legal guardian at a different address
Relationship to applicant:
Last Name
Parent
Step-parent
Grandparent
Sibling
Other____________________________
First Name
Middle Initial
Home Phone
Work Phone
Cell Phone
Alternate Phone
Mailing Address
City
State
Zip Code
Alternate Emergency Contact
Name
Relationship to cadet
Phone
Cell Phone
YCP DOES NOT EXCLUDE ANY PERSON BASED UPON RACE, COLOR, NATIONAL ORIGIN, GENDER OR RELIGION
Youth Challenge Program
INTERVIEW SCHEDULE
Class Beginning April 12, 2015 at the Gillis W. Long Center in Carville
Date-Time-Location
Interview Address
March 26, 2015
Thursday 10:00 AM
Baton Rouge
National Guard Armory
8110 Innovation Park Dr.
Baton Rouge, LA 70820
Driving Directions
From LSU Campus: Head South on Nicholson Drive. Turn Left onto Innovation
Park Drive and Armory will be on the right From I-10 West toward Baton Rouge:
Exit onto Bluebonnet Blvd. and head Southwest. Turn Right onto Burbank Dr.
Turn Left onto Gardere Lane. Take the first right onto Innovation Park Drive .
Armory is on your left.
YCP DOES NOT EXCLUDE ANY PERSON BASED UPON RACE, COLOR, NATIONAL ORIGIN, GENDER OR RELIGION