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Benchmark Kappa Youth Leadership Institute

Benchmark Kappa Youth Leadership Institute Scholar Application
The Kappa Leadership & Development League (aka Kappa League) is a program designed to aid young men of middle and/or high school age to grow and develop their leadership talents in every phase of human endeavor.  The Baltimore (MD) Alumni Chapter of Kappa Alpha Psi Inc. is committed to playing a pivotal role in the development of youth in the Baltimore Metropolitan community.  All applicants must submit a completed “Benchmark Kappa Youth Leadership Institute Scholar Application” with all requested documents.

To participate in the Benchmark Kappa Youth Leadership Institute the applicant must be currently enrolled in middle school as an 8th grader or will be enrolled for the upcoming school year.    

We are pleased that you have decided to apply for admission to the Benchmark Kappa Youth Leadership Institute. Should you have any questions, please contact:
Gary Rahman
Cell:    (443) 447-9939
Email:  Kappa.League@benchmarkkappas.org
Email *
Scholar Email
First Name
Middle Name
Last Name
Date of Birth
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/
DD
/
YYYY
Address
City
State
Zip code
Mother's Name
Mother's Email
Mother's Phone Number
Father's Name
Father's Email
Father's Phone Number
Current Grade
Name of School
What are your career interests?
What do you want from Kappa League?
What courses do you enjoy the most?
What courses are the most challenging?
List Colleges / Universities you are presently interested in attending:
Extra-curricular Activities: Including Performing Arts, Hobbies, Club Activities or Community Involvement.
Extra-curricular Activities: Sports
Photo Consent - Kappa League will videotape and photograph portions of activities, programs and events for purposes of publicity and recruitment. Additionally, some of the Kappa Leaguers may be asked to give interviews if the program is covered by the media. Checking the box below will authorize us to use your son’s name and photograph for the above-mentioned purpose. * *
Required
Parental Permission: I grant permission to allow my son participate in the Benchmark Kappa Youth Leadership Institute. I hereby release and hold harmless, the Baltimore (MD) Alumni Chapter of Kappa Alpha Psi Fraternity, Inc., its members, or any individuals involved in the planning, organization, or presentation of the Kappa League programming, for any accident, injury, illness, or any damage whatsoever related to the above-mentioned applicant’s attendance at, or participation in, any activity or event of the Baltimore (MD) Alumni Chapter. I understand that I am responsible for ensuring my son has transportation to and from Baltimore (MD) Alumni Chapter Kappa League programs and events. I understand the time commitment, required program participation and mandatory attendance unless excused. * *
Required
Approving Parent Name *
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