César Chávez Youth Leadership Conference 2025Saturday, May 10, 2025 at 8:00 AM until 3:00 PMPacific Daylight Time UTC -07:00Map and DirectionsUniversity Credit Union Center | UC Davis760 Orchard RoadDavis, CA 95616United StatesLoading... Registration is required for every attendee, including any student who is in middle school, high school, or community college setting.I am a: *StudentAdministrator or ChaperoneParentOtherPlease describe your title/role *First Name *Last Name *Email *Would you like to receive text message updates for the event? *Would you like to receive text message updates for the event? *YesNoPlease confirm your mobile number *By providing your number, you consent to receive notifications from this organization. Msg & Data rates may apply.Your First Name *Your Last Name *Your Email *Would you like to receive text message updates for the event? *Would you like to receive text message updates for the event? *YesNoPlease confirm your mobile number *By providing your number, you consent to receive notifications from this organization. Msg & Data rates may apply.Your First Name *Your Last Name *Your Email *Would you like to receive text message updates for the event? *Would you like to receive text message updates for the event? *YesNoPlease confirm your mobile number *By providing your number, you consent to receive notifications from this organization. Msg & Data rates may apply.School Name (Do not abbreviate, then select from suggestion list) *What type of school are you currently attending? *Middle SchoolHigh SchoolCommunity CollegeOtherGrade Level *6th7th8th9th10th11th12thCommunity CollegeWho will you be attending with? *A group from your schoolA community based organization or groupA parent/guardian or family memberBy yourselfOtherOther:Student First Name *Student Last Name *Student Email *Would you like to receive text message updates for the event? *Would you like to receive text message updates for the event? *YesNoPlease confirm your mobile number *By providing your number, you consent to receive notifications from this organization. Msg & Data rates may apply.Student Birthdate *Student Birthdate *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Student Gender *Different IdentityGenderqueer/Gender nonconformingManNonbinaryTransgender Man/Trans ManTransgender Woman/Trans WomanWomanCurrent School Name (Do not abbreviate, then select from suggested list) *CEEB Code (read only)What year do you plan to enter a four-year institution? *Fall Quarter 2025Fall Quarter 2026Fall Quarter 2027Fall Quarter 2028Fall Quarter 2029Fall Quarter 2030Fall Quarter 2031Not sureSelect any programs you are a part of at your school *Select any programs you are a part of at your school *Advancement Via Individual Determination (AVID)Early Academic Outreach Program (EAOP)Education Talent Search (ETS)Gear-UPMath Engineering Science Achievement (MESA)PuenteUpward BoundSacramento Area Youth Speaks (SAYS)OtherNonePlease specify which program *Are you of Hispanic or Latino descent? *Are you of Hispanic or Latino descent? *YesNoDecline to stateCheck all ethnicities that apply *Check all ethnicities that apply *African/African American/BlackAmerican Indian/Alaskan NativeCaucasian/WhiteChicano/aChinese/Chinese AmericanEast Indian/PakistaniFilipino/Filipino-AmericanHmongIu-MienJapanese/Japanese-AmericanKorean/Korean AmericanLaotianLatino/HispanicMexican/Mexican-AmericanMiddle EasternPacific IslanderRussianUkrainianVietnamese/Vietnamese/AmericanOther AsianOtherDecline to statePlease specify which ethnicity *Why do you plan to attend CCYLC? Check all that apply.Why do you plan to attend CCYLC? Check all that apply.Cultural events/experiencesVisit/learn about UCDVisit/learn about other colleges in Northern CaliforniaLearn about different fields of study/careersLearn about financial aidLearn about college application & admission processesOtherOther: Local news media, including television, radio and newspapers, have been invited to cover the Cesar Chavez Youth Leadership Conference. News media and UC Davis photographers and videographers may be taking photographs and making recordings at the event. The news media may use the images and recordings for news stories. UC Davis may use the images and recordings for campus stories, social media posts, websites, videos and other promotional efforts and retain them for future use. By attending, you are granting permission for you and any minor(s) in your care to be photographed and recorded and for the images and recordings to be used by news media and UC Davis.Submit
