LINC Registration

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LINC Registration

Please complete all questions on the survey

Email *

Last Name *

First Name *

1. Class of... *

What year are you graduating from High School

2021

2020

2. Cell Phone Number *

Please give your cell phone number with area code

3. Cell Phone Provider *

Please select the provider of your internet service. This is asked for burst messaging.

AT&T

Sprint Nextel

Verizon

T-Mobile

U.S. Cellular

Cricket Wireless

MetroPCS

Trac-Fone Wireless

None of the Above

Other:

4. Did you participate in LINC Mentor last year? *

Yes (if yes, please skip to question 6)

No (if no, please answer question 5)

5. Will you be taking the LTLC course?

Yes

Clear selection

6. What leadership related activities have you participated in?

Check as many as apply

LINC 101

LINC 301

Service LINC

Challenge Day

Orientation

Target days

ACE Tutoring

Student Council

NHS

Other:

7. By submitting this application, I pledge not to use any mood-altering chemicals (alcohol, tobacco, other controlled substances), to be in possession of or use controlled substances, or engage in behavior prohibited by school rules as a member of the EVHS LINC Leadership Program. *

By submitting this application, I pledge not to use any mood-altering chemicals (alcohol, tobacco, other controlled substances), to be in possession of or use controlled substances, or engage in behavior prohibited by school rules as a member of the EVHS LINC Leadership Program. I agree to the above statement and want to submit my application to the LINC Leadership Program

Send me a copy of my responses.

Submit

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