2018 MassSTAR Conference: Nominate Today!
This year's conference will be held at Lasell College on Friday - Sunday, June 1 - 3, 2018. The nomination deadline is May 27, 2018. Please contact Director of Recruitment, Keanna Lamont (recruitment@massyouthleadership.org) with any questions.
Student Information
Student First Name *
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Student Last Name *
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Preferred Name (For Name Tag) *
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Student Gender *
Preferred Gender Pronouns *
School Name *
Your answer
Student Email (Most Often Used Account) *
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Student Address *
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Student City *
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Student Zip/Postal Code *
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Student Home Phone Number
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Student Cell Phone Number *
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T-Shirt Size *
Emergency Contact Information
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
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Parent/Guardian Email *
Your answer
Parent/Guardian Home Phone Number *
Parent/Guardian Cell Phone Number *
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School Information
School Location (Town)
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What region would you identify your school in? *
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School Contact Name *
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School Contact Title *
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School Contact Email Address *
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School Contact Phone Number *
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Miscellaneous
As an organization, we are always looking to improve our programming. Please share with us any 'take-aways' you or your student wish to bring home to your local community.
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