Huliau Leadership Council Application Form

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The Huliau Leadership Council is open to students in grades 9-12 from all Maui County schools who have an interest in environmental leadership. Members meet twice a month to plan service projects and other environmental leadership projects.

Before applying, please visit this site for more information on the program and carefully review the program schedule. https://mauihuliaufoundation.org/leadership/

Please note that this form is to be completed by the STUDENT applicant, not by the parent/guardian.

Student/Participant Information

First & Last Name *

Student email *

(Please no school emails as they often bounce)

Student Phone Number *

Gender *

Male

Female

Other:

Birthday *

YYYY

School Name *

Grade Level *

Legal Guardian Information

Name (First and Last) *

Parent/Guardian Email Address *

Relationship to Participant *

Parent/Guardian Phone Number *

What type of contact is this? *

Home

Cell Phone

Work

Student Application Questions

These questions are to be completed by the student who wishes to participate in the program.

Why do you want to participate in this program? *

Please tell us about an environmental issue that is important to you. *

Please list any volunteer, leadership and/or environmental programs you have participated in. *

I have the permission of my parents or legal guardian to apply for this program and have reviewed the program dates and attendance requirements on the program website. *

Yes

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