Student Application for Rising Leaders
Dear Students,

You are the leaders of tomorrow and we want to help you get there! Rising Leaders is an organization that provides middle school students with great mentors and fun leadership training. A mentor is someone who helps you reach your goals and who you can count on for years to come! They will teach you cool skills like how to speak confidently in front of an audience, how to choose the right career, and how to fix problems in your school and in your community. They will take you on fun field trips to college campuses and community gardens. They will help you succeed in high school, college, and your future job!

If this sounds interesting to you, please answer the questions below!

Student's Full Name *
Your answer
Student's Email Address
Your answer
Student's Phone Number
Your answer
Parent's Full Name
Your answer
Parent's Email Address
Your answer
Parent's Phone Number
Your answer
Student's Race / Ethnicity
A mentor is an adult who you can trust and who wants the best for you. A mentor gives you advice and helps you succeed in school and in life. Please do not count your parents or your teacher as your mentors for this specific question. Do you feel like you have good mentors in your life? *
If you answered "yes" to the question above, who is your mentor and how do you know them?
Your answer
Do you know what kind of job or career you want when you grow up? If so, please tell us what it is below. *
Your answer
What do you like to do for fun? What are your hobbies?
Your answer
Please tell us one thing that can be better about the community where you live or your school. *
Your answer
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