Peer Leadership Application

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IMPORTANT: You must make sure your schedule has a lunch period in order to participate in Peer Leadership, since we meet during your lunch period for the entire year. You must also be available for our summer camps Friday, July 26 and Saturday, July 27, 2024.

Email *

Record my email address with my response

Your name (first and last)

Your home address (street address, city, state and ZIP code)

Your gender

Your middle school

Thompson

Wredling

Clear selection

Parent 1 name (first and last)

Parent 1 cell phone number

Parent 2 name (first and last)

Parent 2 cell phone

I am living with

both parents

one parent

other

Clear selection

If you are living with one parent, which one?

Who is most interested in Peer Leadership?

Both my parents and I

My parents

Clear selection

Why are you interested in Peer Leadership?

Submit

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