Youth Leadership Council Interest Form 
Thank you for your interest in attending Youth Leadership Council with Project Extra Mile. We are excited you're here! Please complete the following form and we will respond with more information soon. If you have any questions, please reach out to Liene Topko at liene@projectextramile.or or at (402) 898-7358.
Name  *
Grade  *
School  *
City  *
Email  *
Phone Number *
Ok to text? *
What type of Leadership Skills are you interested in learning more about and practicing? *
Required
How did you hear about Youth Leadership Council? *
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