LEADERSHIP ON FIRE!

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LEADERSHIP ON FIRE!

MEET POWERFUL PEOPLE. ENJOY GREAT CAMARADERIE. LEARN NEW THINGS. EARN $325 (Includes your $50 DEPOSIT). Ages 18-22. Begins April 28th @8pm (2 hours) and every Monday at 2915 Ave. K. Apply ASAP!

All fields must be filled in for registration to be accepted and each student must fill out their own form in its entirety. Once received and reviewed, you will receive an email from info@bjxcenter.com.

First Name *

Last Name *

Email *

Phone Number *

Is Your Mother Jewish? *

Yes

She is a convert

Other:

Which College Do You Attend? *

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

Which High School Did You Attend? *

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? *

David G.

Sam B

Isabella G.

Elizabeth M.

Aviel E.

Alan G.

Saw it on IG

Other:

List Awards, Scholarships, and Hobbies *

Please specify. Tell us what you enjoy doing!

LinkedIn URL (Optional but recommended)

Please Email A Recent Photo/Headshot of Yourself to info@bjxcenter.com (Not necessary if LinkedIn was provided with a headshot) *

It's on the way

Other:

We require a one-time $50 (non-refundable) payment. Pay here: BJX Payment Page (merchpay.com). *** $50 will be added to your stipend upon attendance to the complete 6 weeks, and the full Weekend at the end of the 6 weeks with CEOs*** *

I paid, please confirm my spot.

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

Required

WhatsApp Your Full Name To 718-809-4574 *

Please be an active participant on our Whats App Group. This is how we stay in touch.

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 and the entire local weekend with the CEO's. *

The Weekend will take place in Flatbush at the end of the 6th weeks near BJX Ave. K. You will be served dinner Fri, & lunch and dinner Saturday by the CEOs. Failure to attend the classes and the weekend will disqualify you from receiving your $325 stipend.

By checking this box I understand that in order to receive my stipend I have to attend the three Gourmet Meals & Exclusive Weekend from Friday evening-Saturday night with the CEO's. And that I can be summarily dismissed at any time from the program due to lateness, inappropriate conduct or disrespect.

Option 2

Required

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