2018-2019 StandWithUs Teen Leadership Council Application
Please complete this form if you're interested in applying for the Teen Leadership Council (TLC) in your community
First Name *
Your answer
Last Name *
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Date of Birth *
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Email Address *
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Street Address *
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City *
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State/Province *
(Canadian Provinces are listed last)
Zip Code *
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Cell Phone Number *
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What high school do you currently attend? *
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What grade are you in? *
Why do you want to join a StandWithUs Teen Leadership Council? *
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Anything else?
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