COVID-19 Resources

USSY Florida Application

Personal Information


( ) -

I am a U.S. Citizen or Legal Permanent Resident of the United States.

School Information


( ) -

Community Service Hours


Leadership Positions

The student must hold a leadership position in Student Government or a Civic or Educational Organization, as specified in the USSYP brochure, during the entire 2020-2021 academic year. If students are unable to hold leadership positions this year due to the pandemic, they can submit the position they held during the 2019-2020 academic year. All student leadership qualifying positions are subject to the judgment of the state selection administrator and will be verified and confirmed.


Senior Year

Junior Year

Community Involvement

Please fill in your most significant community involvement roles in the space provided below. There are three spaces provided on this form per year of high school. Please prioritize your most significant community involvement roles below. A supplemental section is provided to list additional activities. Community service activities will differ from your leadership positions.


Senior Year

(Please only provide the organization name and your role; for example: Relay for Life, Community Engagement Chair)

Junior Year

(Please only provide the organization name and your role; for example: Relay for Life, Community Engagement Chair)

Additional Student Activities

Additional student activities may include sports, clubs, and other extracurricular activities.


Year(s):
Year(s):
Year(s):

Special Recognition, Awards, Honors

Please outline special recognition, awards, and honors not previously listed. Five places have been provided; prioritize responses.


Year(s):
Year(s):
Year(s):
Year(s):
Year(s):

Upload Documents

Using the supplemental application packet, please upload the following documents:

  1. Essays from essay prompts - Please provide in one document, PDF accepted
  2. Maximum of three letters of recommendation - One document, signed and scanned, PDF
  3. Verification of leadership position -This may be one of your letters of recommendation or a separate document verifying your current leadership roles and gpa as documented by a school administrator. PDF Any questions, contact apitts@flsouthern.edu.

Essay Questions


  1. If you could serve on one U. S. Senate Committee, please identify the committee and explain your reasons.
  2. If you were elected to the United States Senate, what one issue of importance to Florida would you champion?
  3. What type of leader are you and how has this helped you in your current leadership positions?

Letters of RECOMMENDATION


This document may be standalone, or one of your letters of recommendation.