LAB 2021-2022 Application
Email address *
Applicant Name *
Home Address *
Cell Number *
Email Address *
Job Title & Employer *
Social Media Handle
1. Please describe what leadership means to you: *
2. Please list your interests, special talents, hobbies (music, sports, arts, etc): *
3. Have you ever worked with at risk or special needs youth? ____If yes, please explain: *
4. What is your overall philanthropic short term and long term goal? *
5. Please list any other non profit organizations you are heavily involved with either through regular monetary annual giving or board governance. *
6. Have you ever successfully raised funds for important causes to you? If so, please explain: *
7. What areas of leadership are you most excited to learn about? *
8. Please add a personal statement about yourself and why you would be a good addition to LAB. (optional)
9. Ethnicity origin (or Race): Please specify your ethnicity (optional)
10. Please list age range: *
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