U the Teen Leader TEEN Application
Teens, please complete and submit this form to be considered for a scholarship. A parent, guardian or nominator must also complete and submit a separate form found on the website.
Your Name *
Your answer
Parent or Guardian Name *
Your answer
Your Date of Birth *
MM
/
DD
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YYYY
Your Gender *
Your Email Address
Your answer
Your Phone Number
Your answer
Grade Fall 2018 *
How did you hear about the U the Teen Leader Program? *
Tell us an example/s of how you currently help others. Please describe the impact this has on the person/s you're helping and the impact on yourself. *
Your answer
Tell us a current goal you have for yourself. *
Your answer
Tell us a goal you have for yourself by the end of the 2018-2019 school year. *
Your answer
Please indicate your current activities: *
Required
If you are awarded a scholarship, you agree to: *
Required
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