Arthur Langford Jr.  and Michael Langford Teen Leadership Institute Application
Please answer all questions accurately and completely. Applicants must be a High School student residing in Metro Atlanta. Please be sure to attach your required essay. Essays should be typed or printed, one page double-spaced. Two topics: (1) As a young person in the new millennium, my biggest challenge. (2) I can and will make a difference.  
Sign in to Google to save your progress. Learn more
Today's Date *
MM
/
DD
/
YYYY
First Name  *
Last Name  *
Address
Email
Number
Age *
Gender *
Parents/Guardians Name
Do you live with both parents?
Clear selection
If not, with whom do you live with? 
Grade You're Attending In The Fall? 
Clear selection
Please list all school activities in which you are involved.
Please list any honors, awards, or special achievements you have received.
Do you plan to attend college?
Clear selection
What are your career goals?
Are you involved in any community organizations or projects? If so, please list:
What are your personal interest?
What do you consider the three major issues facing youth today?
Name three reasons you would like to be a part of the Arthur Langford, Jr. and Michael Langford Teen Leadership Institute.
Name three reasons you would like to be a part of the Arthur Langford, Jr. Teen Leadership Institute.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Eldredge E. Washington, LLC.. Report Abuse