MYLead Application 2021
What is your full name? *
What is the best email address to reach you? *
What is your phone number? *
How did you hear about MYLead? *
Which MYLead Conference are you interested in attending? *
Are you a Sophomore in high school this year (2020-2021)? *
What is the name of the school you attend? *
What is your overall GPA? *
List any extracurricular activities (in or outside of school) you are involved in. Indicate how long have you been involved in each and what your role is within that organization. (Examples: Drama Club - 2 years - president; Church youth group - 4 years - member; Travelling Soccer Team- 1 year - member) *
Please provide the name of at least one parent or legal guardian and indicate their relationship to you (Example: Jane Doe - Mom) *
Please provide the best email address to reach the above parent or legal guardian (Example: *
Please provide the name and phone number for at least one adult person (not a family member) that can serve as a character reference. This person should be able to speak about your personal character and tell us why you deserve to attend MYLead. (Examples: Amy Smith, 248-259-****, Volleyball Coach. James Mathews, 269-428-****, Pastor). *
What is you school counselor's name and phone number? (Example: Jane Doe, xxx-xxx-xxxx) *
What is you school counselor's email address? (Example: *
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