Leadership Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Leadership Application - Summer 2021

The Leadership Project is a space that allows youth to explore the intersections of race and class through research, art, and discussions.
This summer, youth will critically think about and discuss what societal structures impact a community and will work continue working with the The Block Museum

This program starts June 15th and will be held on Tuesdays & Thursdays from 12:00-1:30pm
Participants in this program also receive a $250 stipend based on participation and attendance.

Full name: *

Parent/guardian name: *

Home address: *

Phone number:

Student Email address: *

Do you have access to a phone, tablet, or a computer? *

Yes

Other:

Are you comfortable attending in person field trips?

Yes

Clear selection

Clear form

Never submit passwords through Google Forms.

This form was created inside of Youth and Opportunity United. Report Abuse

Forms