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Phoenix Leadership Conference Application
Thank you for your interest in the Phoenix Leadership Conference! Please fill out the delegate application below. Applications for our 2018 Conference close on April 20th!
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* Indicates required question
Full name
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Your answer
Grade as of May 2018
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Your answer
Age as of May 2018
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Your answer
School
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Your answer
Sex
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Your answer
Gender
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Your answer
Address
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Your answer
Phone number
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Your answer
Email
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Your answer
Guardian's name (if under 18)
Your answer
Guardian's phone number (if under 18)
Your answer
Guardian's email (if under 18)
Your answer
Which program are you applying for?
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AGENT - Current high school students, typically aged 14-18
ADVOCATE - Current high school students who have previously attended Conference as an Agent
LIT "Leaders in Training" - Leaders typically aged 18-25 who are ready for a more intensive leadership experience
Why do you want to attend the Phoenix Leadership Conference?
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Your answer
What previous leadership experience do you have?
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Your answer
Do you consider yourself an introvert, ambivert, or extrovert?
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Your answer
Tell us three fun facts about yourself!
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Your answer
How did you hear about us?
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Your answer
Thanks for applying, you'll hear from us soon! If you have any questions feel free to contact us at
conference@phoenixleadershipproject.com
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