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Young Leaders Arts Immersion Application
For High School and Pre-College students interested in hands on learning in the Arts.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Pronouns
Your answer
Zip Code
*
Your answer
Grade (2022-23 school year)
*
Choose
9th
10th
11th
12th
Pre-college (Graduated High School, but haven't gone to college yet)
Parent or Guardian Name
*
Your answer
Parent or Guardian Phone Number
*
Your answer
Parent or Guardian Email Address
Your answer
What school do you attend?
*
Your answer
Student Email Address
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Your answer
Tell us how you currently engage with the arts? Example: do you play an instrument? Write? Paint? Act?
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Your answer
Are you able to commit 2-4 hours each week from June - August to the Young Leaders Arts Immersion Project?
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Yes
No
The program starts in May and ends in August, are you available during these months?
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Yes
Yes, but I may have to miss one or two session for work/camp/travel
No
Some session take place in the evening, how late are you able to stay? Choose the latest time you can stay out.
7pm
8pm
9pm
10pm
Clear selection
Please provide the name and email address of a teacher or mentor that would provide a recommendation for your participation.
Your answer
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