LEAD On Fellowship - Student Application
If you are a current high school sophomore, junior, or senior in Churchill County interested in the LEAD On Fellowship Program - this form is for you!

The LEAD On Fellowship is a premier leadership, education, awareness, and development program in Churchill County. The fellowship is cohort centered and consists of high school juniors and seniors from both Oasis Academy and Churchill County High School. Leadership fellows are paired with a mentor, work on a passion project, participate in monthly engagements, and work towards earning a leadership certificate. The program contributes to LEAD On’s overall mission, vision, and values by cultivating youth development and promoting community service.

This program will help you to discover your why, prepare you for your future, and most of all amplify your potential. Being a leadership fellow will not only elevate your own skills and capabilities but also empower you to be change-maker.

LEAD On Fellowship applications and nominations are due September 24, 2021.
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Name (First and Last) *
What school do you attend? *
Phone you answer *
Email *
Expected Graduation Year *
Are you interested in serving as the student representative on LEAD On's Board of Directors? *
What are you passionate about? (250 words max) *
Share one of your future goals with us.  (250 words max) *
Why do you want to participate in the LEAD On Fellowship Program? (250 words max) *
Tell us about your ideal role model and/or mentor. (250 words max) *
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