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Student Interest Form
Thank you for your interest in L!FE Leaders Inc.! Please fill out the form below and we will follow up with you as soon as possible.
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First Name
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Last Name
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Date of Birth
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MM
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YYYY
Grade
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8th or lower
HS Freshman
HS Sophomore
HS Junior
HS Senior
College Freshman
College Sophomore
College Junior
College Senior
Graduate Student
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Phone Number
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Email Address
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Address
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City
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State
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Have you participated in L!FE in the past?
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Yes
No
Maybe
If "yes', what year(s)?
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Have you participated in the Detroit Youth Summit in the past?
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Yes
No
Maybe
If "yes', what year(s)?
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How did you find out about L!FE?
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Google
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Why are you interested in joining L!FE?
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Do you have any questions about L!FE?
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