LEAD Chandler Youth Leadership Program Application

First Name

Last Name

Date of Birth

Email

Phone Number

Zip Code

Current School (if applicable)

Current Grade Level

Current or Intended Field of Study or Career Interest

Parent/Guardian Info (if you're under 18)

First Name

Last Name

Phone Number

Why are you interested in the LEAD Chandler program?

What do you hope to gain from participating in this program?

Describe any previous leadership experience or community involvement.

What career/s are you more interested in exploring?

What skills are you most excited to develop in this program?

Leadership

Communication

Career Exploration

Critical Thinking

Professional Mindset

Civic Engagement

Other

Are there any specific skills you would like support with?

Resume-writing

Interview skills

Self-confidence

Time-management

Other

What are three personal or professional goals you hope to achieve in the next 1-3 years?

What does being a "leader" mean to you?

By signing below, you agree to attend all sessions for the program and follow all program rules inluding being on time, and being fully attentive to program presenters.

I agree to participate fully in this program.

Yes

No

Signature

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LEAD Chandler Youth Leadership Program Application