Community LEADER Fellowship Application
Apply to be one of ten teen leaders who will spend the school year learning how to solve complex problems in their communities through the Community Based Research Model. Teens will meet once a month for  workshops, will plan a final community action project, and receive a Community Leadership Certificate,

Suggested $180 participation fee as a donation to the Fellowship Scholarship Fund
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Name *
First and last name
Birthday *
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Address *
Email *
Phone number *
Current School *
Grade (Ages 14-18) *
Days of the week you are available (select all that work) *
Required
Parent 1 Name, Address if different, Phone and Email
Parent 2 Name, Address if different, Phone and Email *
Tell us a little about yourself
Why are you interested in this Fellowship
What, if any, are your professional aspirations *
What is your experience in a professional setting
Have you held any leadership positions *
Current activities involved in *
Hobbies and interests  *
What is meaningful to you that you can use to put forth in the project
What is your experience with the SJJCC *
What makes you an good candidate for this leadership program *
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