Youth Leadership Program Application
To be filled out by the student. Due October 29th
First Name *
Your answer
Last Name *
Your answer
Tribe(s) *
Your answer
Do you have an ED506 form on file? *
Address *
Your answer
Will student need a CTA voucher for transportation? *
Grade *
School *
Your answer
What does leadership mean to you? (in 100 words or less) *
Your answer
Please list at least one idea for a community project or an issue that you hope to address by the end of the school year. *
Your answer
Please list a student email
Your answer
Please list a parent email or phone number
Your answer
What is the best way to contact you? *
Your answer
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