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Junior Leadership Jackson Nomination Form
Please complete the following information to NOMINATE a potential student participant. NOMINATIONS ARE DUE BY AUGUST 26, 2024.
* Indicates required question
Email
*
Record my email address with my response
Your Name
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Your answer
Your Title (with School System if applicable)
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Your answer
Student's First and Last Name
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Your answer
Student's Email (non school email preferred)
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Your answer
Student's Contact Phone (or parent/guardian)
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Your answer
Student's School/Learning Location
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Commerce High School
Jackson County High School
East Jackson High School
Jefferson City High School
Empower College and Career Center
Home School
Private School
Other:
Please write a brief note as to why you would recommend this student for the Junior Leadership Jackson Leadership Program.
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Your answer
Describe what this student has done to support their own personal and/or academic growth?
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Your answer
Any Additional Comments for consideration:
Your answer
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