Mentor Application - L.E.G.A.C.Y of LEADERSHIP INSTITUTE

Name (Last, first) * *

Address *

Employment

Primary Phone Number *

with area code

Other Phone Number

with area code

How do you define leadership? (no more than 500 characters count) *

Please define in your words what you understand by leadership.

What value can you add to the lives of girls age 14-18? *

What effects/affect if any, has mentoring had on your life? *