Lack of adequate opportunities for young adults to develop and practice leadership in Egypt and an absence of information and understanding about the youth leadership competencies, processes, and evaluative tools needed to build effective leadership programs led to the current study. The purpose of the qualitative study supported by quantitative data with a modified Delphi design was to explore, examine, and refine the leadership skills and competencies needed for young Egyptian leaders to determine how to develop multiple youth development and leadership opportunities for youth at ages 15–24 and to establish necessary effective evaluative methods. The geographical location covered the greater Cairo zone. The sample (n = 40) included five stakeholder groups. The findings identified values, leadership, technical knowledge and skills, physical traits, and personality and emotions as competencies and skills necessary for youth leadership development. Family support, methodologies, content, extracurricular activities, community activities, national and international opportunities, and diversity were identified as opportunities for teaching youth leadership. Assessment, evaluation tools, and long-term impact were identified as effective methods for youth leadership evaluation. Results may assist in identifying potential young leaders, development of youth leadership programs, and evaluation of implemented programs. The study indicated a need to focus on youth leadership programs; the role of youth in leadership development; and the needs of trainers, coaches, and counselors in charge of youth leadership programs. Recommendations included adopting a participatory approach for youth development in Egypt through a number of national processes and policies.