Art of Leadership Application: 2022-2023 Cohort 8

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Thank you for your interest in the Art of Leadership Program!
--This application includes 3 parts: Information about you, Information about your Parent(s)/ Guardian(s), and 4 Short Answer Questions.
--For the Short Answer section, you may type your responses in a Google or Word doc and attach them, or answer directly in the form. Make sure your answers are saving as you go along.
***Please note the instructions at the end of the form: you must also submit a formal Letter of Recommendation, directly to Summer Claypoole via email, summer@artwithaheart.net.
Please contact Summer at that address if you have any questions or concerns. You will also receive a confirmation email upon completion of your application.

Email *

Name *

First and last name

Cell Phone Number *

Current Grade Level *

9th Grade

10th Grade

High School *

Full Address (including city and zip code) *

Birth Date *

YYYY

Gender *

Female

Male

Non-Binary

Other:

What are your pronouns? *

She, her, hers

They, them, theirs

He, him, his

Other:

Check all of the following racial, geographic and/or ethnic categories with which you identify: *

African American or Afro-Caribbean

East Asian or Asian American

Latinx or Hispanic American

Middle Eastern or Arab American

Native American or Alaskan Native

South Asian, Pacific Islander, or Indian American

Western or Eastern European American

Black

White

Choose not to identify

Other:

Required

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