CLARITY 2020-21 Membership Form
Email address *
Last Name *
FIrst Name *
Student's Grade *
Student's Email *
Student #2's First Name (only if needed)
Student #2's Last Name (only if needed)
Student #2's Grade (only if needed)
Clear selection
Student #2's Email (only if needed)
Parent 1 Name *
Parent 1 Email *
Parent 1 Cell
Parent 1 Work/Home
Parent 1 Company
Parent 2 Name
Parent 2 Email
Parent 2 Cell
Parent 2 Work/Home
Parent 2 Company
CLARITY Committee Volunteer Opportunities for Parents (Check any areas of interest)
Additional Volunteer Opportunities
If you, your company or someone you know might possibly be able to provide an INTERNSHIP experience for one of our 12th grade Leadership students, please provide your contact info below. FYI, this can be any opportunity for a student to shadow a mentor and learn more about a particular field of interest, job, or a passion that they may have (a formal program within a company is not required). Thank you!
CLARITY Membership is $35 per student. Please consider making an additional tax-deductible donation to support the many programs and activities of the Center for Leadership & International Relations. At this time, we can only take electronic payments. *
* If you have a Membership-related question, please email the CLARITY Membership Chair at jbjustus@gmail.com
A copy of your responses will be emailed to the address you provided.
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