LBD - Guest Student Application 2023/24

The Leadership by Design (LBD) program accepts self-identified Black and Black African-Canadian students entering Grade 10 for the 2023-24 academic year.  Applications are now closed.

Recognizing the learning enrichment and leadership development needs for Black youth who will enter Grades 9, 11 and 12 this year, the Lifelong Leadership Institute will endeavor to include these groups, where space and programing requirements permit.  A special student category has been created: "LBD GUEST STUDENTS".  Grade 10 students who were not able to join the 2023 cohort may also participate in this way.

Submission of this form will enroll self-identified Black Grade 9, 10, 11 and 12 students in the LBD Guest Student category. LBD Guest Students and their parents will receive invitations to various virtual courses/webinars as well as in-person symposia, workshops, partner information sessions, and events.  They will be offered many of the special LBD learning opportunities afforded throughout the academic year and summer months.

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Email *
Which of the following best describes you, the guest student applicant?  
 *
STUDENT: LAST Name *
STUDENT:  FIRST Name *
STUDENT: Mobile Phone Number *
STUDENT: Re-enter your email Address 

The LBD program uses email as the primary form of communication.  Double check the email address inputted for accuracy and check your email regularly.  Opportunities will be available on a first come, first served basis.

We strongly recommend that use a non-school email address.
 *
Student: Gender *
Required
STUDENT: What grade will you, the student, enter in September 2023? *
STUDENT: Are you enrolled in academic or university level courses at your high school?  That is, will the courses you take, or plan to take, enable you to apply for university? *
STUDENT: What school do you attend? *
STUDENT: What is your school board?

DO NOT use the acronym.  For example, instead of TDSB, input Toronto District School Board.
 *
STUDENT: Which of the following are you you interested in?

Select all that apply.
 *
Required

CAREER GOALS

We understand that career interests may change over time. Currently, what are your career aspirations?

Please respond to this question, following these specific instructions:

1. List up to two career goals

2. Rank them in order of preference

You may be specific (e.g. accounting) or general (e.g. business). 

 *
PARENT/GUARDIAN 1: First and last name  *
PARENT /GUARDIAN 1: Mobile Phone Number *
PARENT/GUARDIAN 1: Email address

The LBD program uses email as the primary form of communication.  Double check the email address inputted for accuracy and check your email regularly.  Opportunities will be available on a first come, first served basis.

 *
PARENT /GUARDIAN 2: First and last name 

Leave blank if not applicable
PARENT /GUARDIAN 2: Mobile Phone Number

Leave blank if not applicable
PARENT/GUARDIAN 2: Email address

Leave blank if not applicable
How did you first hear about the Leadership by Design program? *
Thank you for filling in this form.  

A copy of this form, with your responses, will be emailed to you. 

OPTIONAL: Please share any information you may believe relevant for the LBD program to know about you.
A copy of your responses will be emailed to the address you provided.
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