Kappa Leadership Development League Application
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What membership are you applying for? *
Name (First, middle, last) *
Date of birth *
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DD
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Age *
Full address (Street, city, state, zip code) *
Student Cell Phone *
Student Email address *
T-Shirt size *
Jacket size. *
Parent/Guardian full name *
Parent/Guardian Occupation *
Parent/Guardian address if different
Parent/Guardian phone number *
Parent/Guardian email address *
Second Parent/Guardian full name
Second Parent/Guardian Occupation
Second Parent/Guardian address if different
Second Parent/Guardian phone number
Second Parent/Guardian email address
Number of brothers *
Number of sisters *
High/Middle School *
School grade level *
List classes this year *
What class do you most enjoy and why? *
What class do you least enjoy and why? *
What are your career choices? *
What colleges or schools would you like to attend? *
What skills do you have?
What hobbies and interest do you have?
What is your employment history?
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