APPLICATION: PART I
Future Leaders of Irving Class of 2017-18 Application
Participants in Future Leaders of Irving (FLI) are expected to attend all sessions and adhere to all rules and policies. There is no charge for participation in FLI.
IMPORTANT DATES:

September 5: Applications available online
Wed, September 27: Application process closes at 5:00 p.m.

You will be notified if you have been accepted to the program after October 5.

All classes are held at Lively Point Youth Center, 909 N. O'Connor Rd., Irving. and run from 8:30 a.m. – 4:00 p.m.

Classes will be held on these dates:

Wed., October 18: Orientation, Leadership and Team Building
Wed., November 15: Education
Wed., December 13: Nonprofit and Volunteerism
Wed., January 24: City Government
Wed., February 21: Private sector
Wed., March 28: Private sector
Wed., April 18: Project presentations and graduation (afternoon)

Please provide the following information.
First name *
Enter your first name
Your answer
Middle name
Enter your middle name
Your answer
Last name *
Enter your last name
Your answer
What is your preferred name? *
Enter preferred name or nick name. This is the name that will be used for all communication and forms
Your answer
Student ID *
Enter your student ID
Your answer
Gender *
Enter your gender
Enter your date of birth in the format month, date, year. *
Enter your date of birth.
MM
/
DD
/
YYYY
Do you live in Irving? Y or N *
You MUST live in Irving to participate in FLI.
Your answer
Home address 1 *
Enter your house number and street
Your answer
Apartment number
Enter your unit or apartment number
Your answer
City *
Enter city
Your answer
Zip code *
Enter your zip code
Your answer
Cell phone *
Enter your cell phone number
Your answer
Home phone
Enter your home phone number
Your answer
Email address *
Enter your email address
Your answer
Name of parent or guardian *
Enter your parent's or guardian's first and last name.
Your answer
Parent's or guardian's primary phone number *
Enter your parent's or guardian's primary phone number
Your answer
Parent's email address
Enter parent's or guardian's email address
Your answer
Which high school do you attend? *
Select your high school.
Are you currently a high school senior? *
Are you a currently a high school senior? You MUST be a high school senior to participate in FLI.
Your answer
What is your GPA on a 0-100 point scale? *
Enter your Grade Point Average on a 0-100 scale. You must have a GPA of 70 or higher to participate in FLI.
Your answer
What is your primary area of study? *
What is your primary area of study in high school?
Your answer
What are your plans after you graduate? *
What are your plans after you graduate? Choose all that apply.
Required
Which college do you plan to attend?
If you plan to attend college, which college(s) do you plan to attend?
Your answer
If you plan to attend college, what do you want to major in? Check all that apply.
In 250 characters or less (approximately 50 words), describe your most important accomplishment in high school. *
What was your most important accomplishment during high school? Limit your response to 250 characters.
Your answer
In 250 characters or less (approximately 50 words), describe your biggest challenge in high school. *
Describe your biggest challenge during high school. Limit your response to 250 characters.
Your answer
List up to five (5) school clubs, sports or organizations you have been involved with. Separate each response with a comma (,) and NOT the ENTER key. *
List any school clubs and/or organizations you have been involved in. Separate the names with a comma and NOT the ENTER key.
Your answer
In 300 characters or less (approximately 60 words), tell us why you want to participate in FLI. *
Why do you want to participate in Future Leaders of Irving? Limit your response to 300 characters.
Your answer
In 300 characters or less (approximately 60 words), tell us what you hope to gain from participating in Future Leaders of Irving. *
What do you hope to gain from your participation in Future Leaders of Irving? Limit your response to 125 characters.
Your answer
List your top three (3) hobbies. Separate each response with a comma (,) and NOT the ENTER key. *
What are your favorite hobbies? Separate your responses with commas NOT with the enter key.
Your answer
List your top three (3) interests. Separate each response with a comma (,) and NOT the ENTER key. *
What are your favorite interests? Separate your responses with commas NOT with the enter key.
Your answer
What is your Twitter user name?
If you have a Twitter account, what is your username?
Your answer
List any food allergies we need to know by a comma (,), NOT the ENTER key. *
List any food limitations or allergies separated with a comma.
Your answer
Is there any other information that should be considered for acceptance into the program? Limit your response to 250 characters (approximately 50 words).
Is there any other information you want the admissions committee to know?
Your answer
Shirt size *
Enter your shirt size in adult sizes.
Make sure to click on "SUBMIT" when you are done. You will be able to edit your responses at a later time.
Your answer
NEXT STEP: Print out PART II, complete, get signatures and give to your counselor.
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