Skip to form

Virginia Beach Parks & Rec

(757) 385-1100

Mayor´s Youth Leaders in Action Recommendation Request

To the youth applying: Please share the link to this form with 2 adults who can account for your leadership ability and who can complete this on your behalf in order to recommend you for MYLA.

To those completing this application for the youth applying: Thank you for taking the time to complete this. Upon clicking submit, you and your comments will be available for MYLA staff. This recommendation will be used as a part of the youth´s application process. If you have any questions or would like more information on MYLA, please visit our website or contact us at

Full Name of Youth

Your Information

Your Full Name

Your Address

Youth Profile

To be completed by the recommender

Recommendations should include the applicant´s leadership skills, community involvement, academics and/or potential for growth in these areas.

Recommender Signature

Choose how to sign