Art of Leadership Application: 2021-2022 Cohort 7
Thank you for your interest in the Art of Leadership Program!
--This application includes 3 parts: Information about you, Information about your Parent/ Guardian, and 4 Short Answer Questions.
--For the Short Answer section, you may type your responses in a Google or Word doc and attach them, or answer directly in the form. Make sure your answers are saving as you go along.
***Please note the instructions at the end of the form: you must also submit a formal Letter of Recommendation, directly to Summer Claypoole via email,
summer@artwithaheart.net
.
Please contact Summer at that address if you have any questions or concerns. You will also receive a confirmation email upon completion of your application.
APPLICATION DUE DATE IS MARCH 19, 2021
* Required
Email address
*
Your email
Name
*
First and last name
Your answer
Cell Phone Number
*
Your answer
Current Grade Level
*
9th Grade
10th Grade
High School
*
Your answer
Full Address (including city and zip code)
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Non-Binary
Other:
What are your preferred pronouns?
*
She, her, hers
They, them, theirs
He, him, his
Other:
Check all of the following racial, geographic and/or ethnic categories with which you identify:
*
African American or Afro-Caribbean
East Asian or Asian American
Latinx or Hispanic American
Middle Eastern or Arab American
Native American or Alaskan Native
South Asian, Pacific Islander, or Indian American
Western or Eastern European American
Black
White
Choose not to identify
Other:
Required
Next
Page 1 of 3
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
