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Future Leaders Academy - Future Leader Application
Name
First Name
Last Name
Email
Verify Email
Cell Phone
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Current Address
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Age on January 18, 2025
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How old will you be when the Future Leaders Academy begins on January 18, 2025?
School/College, Organization or Employer
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Reference
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Please provide the name, email address and phone number of a teacher, coach, advisor or another adult who knows you well. This individual should not be a relative. We will contact them as part of the application process.
Who is a leader you admire? Why? (300 word limit)
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Please tell us something about yourself and your interest in joining the Future Leaders Academy. (300 word limit)
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Important Dates to Keep in Mind:
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Are you available on the following dates? Leadership Workshop: 90-minute, virtual group leadership workshop sessions one Saturday each month for 5 months. Session dates: January 18, February 15, March 15, April 19, and May 17, 2025 + Mentorship Kick-off Celebration on Saturday, June 7, 2025. The mentorship continues through June 2026.
Yes, I am available on each of those dates
No, I'm not available on those dates.
How did you hear about the Future Leaders Academy?
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Teacher/Counselor/Advisor
Parent/Guardian
Friend/Classmate
Future Leaders Academy participant
Future Leaders Academy mentor
Social Media - Instagram
LinkedIn
Website
Other
If Other, please describe how you heard about us:
