LOT 2020 Student Application
2020 - 2021 Leaders of Tomorrow Atlanta Chapter Application
Email address *
Last Name: *
First Name: *
Date of Birth: *
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DD
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Email Address: *
Cell Number: *
Is it okay to text you on Cell Number *
Yes
NO
Row 1
Home Phone:
Home Address: *
City *
State *
Zip Code: *
Parent or Guardian's First and Last Name *
Relationship of Student of to Parent or Guardian *
Parent or Guardian Email address: *
Parent or Guardian Cell Number: *
Student Emergency Contact Name *
Student Emergency Contact Phone Number: *
Emergency Contact Relationship to Student: *
Please list any allergies or medical conditions or write "N/A" if none *
Name of High School: *
High School Street Address: *
High School City: *
High School State: *
High School Zip Code: *
Current High School Grade *
G.P.A (May/June 2019): *
HONORS/AP/IB CLASSES: *
AWARDS: *
FAVORITE SUBJECTS: *
SUBJECT(S) IN WHICH YOU STRUGGLE: *
EXTRA CURRICULAR ACTIVITIES *
List Activity, Position Held and Grade Participated
LIST ANY COMMUNITY SERVICE/VOLUNTEER PROJECTS: *
LIST COLLEGES/UNIVERSITIES YOU ARE INTERESTED IN APPLYING TO: *
LIST YOUR CAREER GOALS AND/OR COLLEGE MAJOR: *
HOW DO YOU PLAN TO PAY FOR COLLEGE? : *
LIST COLLEGE SCHOLARSHIPS APPLIED TO AND/OR RECEIVED AND THEIR VALUE.: *
WHY DO YOU WANT TO JOIN THE LEADERS OF TOMORROW? *
HOW HAVE YOU OR HOW WILL YOU DEMONSTRATE LEADERSHIP IN LOT OR WITHIN YOUR SCHOOL OR COMMUNITY? *
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