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Leadership in Advocacy Program Nomination
Leadership in Advocacy Program Nomination
December 18, 2020
Susan Feldman
News
Leadership in Advocacy Program Application
This program will engage young leaders with other students, professional guests, and state legislators. Grades 9-12 only.
Please complete the following application to the best of your abilities.
Your Name
*
First
Last
Your School
*
Grade Level
*
-
9
10
11
12
Your Email
*
Phone Number
*
Please provide one reference who can speak to your skills and experiences as well as your motivation to be a part of this program. This should not be a family member or friend.
Reference Name
*
First
Last
Relation
i.e. Teacher, Counselor, Tutor, Advisor, Mentor, Program Staff, etc.
Reference Email
Reference Phone Number
Short Essays
Please submit a brief bio of yourself.
*
Please include any current leadership experiences, organization involvement, and other skills and interests.
Why would you be good fit for the Leadership in Advocacy Program?
*
What would you like to achieve as a result of being in this program?
*
Please ensure the application is filled out entirely and your answers are proofread prior to submitting.
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