Torch Toledo 4
Teen Leadership Program, 10am-7pm, September 15-16, 2018
Name of Applicant *
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Email *
Your answer
Applicant's Age *
Your answer
Applicant's School *
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Is the applicant currently receiving treatment for a medical issue? *
Is the applicant currently receiving counseling or psychological therapy? *
Is the applicant currently dealing with addiction issues? *
Parent/Guardian Name: *
Your answer
Relationship to Teen: *
Please acknowledge that the teen's parent or guardian listed above will be contacted by a Torch Volunteer Representative to confirm registration. *
Required
Address: *
Your answer
Parent/guardian phone number *
Your answer
Parent/guardian e-mail *
Your answer
Will a parent/guardian be available during the workshop time period? 9am-7pm Saturday and Sunday? *
TEEN answer: What are some big challenges you are currently facing? *
Your answer
TEEN answer: What would you do with your life if nothing stood in your way? *
Your answer
TEEN answer: How do you think you could benefit from Torch? *
Your answer
Once this application has been received and processed, both the parent and the teen will be contacted for further information. Questions? Please e-mail us at Nextleveltorch@gmail.com
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