YOUTH HUNTING PROGRAM
Application
Name: ___________________________________________________
Address: _________________________________________________
City: __________________________________Zip: _______________
Telephone: __________________ e-mail: _______________________
Date of Birth: ______________________ Sex: __________________
Hunter Education Certificate Number: ____________________________
Please describe your involvement in community and other civic activities:
Please describe your involvement in environmental and wildlife conservation activities:
What is your interest in outdoor skills:
What firearms safety and skills training have you had, and please describe your previous shooting/hunting experiences:
_________________________________________________________
_________________________________________________________
What is your previous turkey hunting experience?
Please list your school extra-curricular activities and your involvement in youth organizations, including offices held and volunteer work done on behalf of these organizations.
References: Please list two adult references:
1. Name ________________________________________
Address_______________________________________
City ____________________________Zip___________
Telephone _____________________________________
2. Name ________________________________________
Address_______________________________________
City ____________________________Zip___________
Telephone _____________________________________
Please include a recent photograph, and describe, on one page attached to this application, why you think that you should be considered for this hunt.
NOTE: If selected, you will be asked to provide further information and a parental consent/liability release will be provided later.
Return applications to: Gene White
218 W. Central, Box 308,
El Dorado, KS 67042