SUMMER LEADERSHIP ON FIRE!

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MEET POWERFUL PEOPLE. ENJOY GREAT CAMARADERIE. LEARN NEW THINGS. EARN $75. Begin 6/2 @7pm (2 hours) and every Tuesday at 2915 Ave. K. Apply ASAP!

So much fun!!

First Name *

Last Name *

Email *

Phone Number *

Is Your Mother Jewish? *

Yes

She is a convert

Other:

Which High School Do You Attend? *

Please specify. Tell us what year you're in.

Please Provide the Full Name & Cell # of An Emergency Contact. (Please specify if this is your Mom or Dad) *

How did you hear about LEADERSHIP ON FIRE? *

List Awards, Scholarships, and Hobbies *

Please specify. Tell us what you enjoy doing!

Please Email A Recent Photo/Headshot of Yourself to info@bjxcenter.com *

It's on the way

I paid, please confirm my spot.

Thanks, but I'm not pursing the Leadership Course.

Required

WhatsApp Your Full Name To 718-809-4574 *

Students MUST be actively participant on our What's App Group. Important info & updates will be posted on it.

Sure! I will send a Whats App now with my full name and check it often for updates

Required

By applying for the Leadership course I agree to attend all classes. *

By checking this box I understand that in order to receive my stipend I have to attend the three classes

Required

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