Juneteenth Court

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

Juneteenth Court

Thank you for your consideration for the Juneteenth Court. To be selected for the Juneteenth Court, you must demonstrate great leadership skills, be active in your community and school, and, most importantly, you must positive role model at all times.

Please complete the form below to be considered for this inaugural event.

* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Phone number *

Your answer

Email (use the email that you respond to the most) *

Your answer

Preferred way of being contacted *

Text

Phone call

Email

Social Media ( Snapchat, Instagram, etc...)

What school do you currently attend? *

Your answer

Next

Page 1 of 7

Clear form

Never submit passwords through Google Forms.

This form was created inside of Black Leaders Acquiring Collective Knowledge. Report Abuse