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We are looking for high school and college students who are conservative and want to receive training and support as they consider becoming active in their community as a next-generation leader!
First Name
*
Last Name
*
Email Address
*
Street Address
*
City
*
Zip
*
Phone
*
Are you in High School or College?
*
HIGH SCHOOL
COLLEGE
Age
*
What school do you currently attend and what is your year?
*
Are you interested in participating in our Emerging Leaders Academy for training?
YES, Fall 2022 (September–December)
YES, Spring 2023 (February-May)
YES, Summer 2023 (June-August)
YES, but not right now.
NO
Would you like to be invited to our upcoming social networking events like mixers, BBQs, beach days, etc.?
YES
NO
Are you looking for a paid part-time or full-time job and would you like to be considered for hire?
YES
MAYBE
NOT NOW
Were you referred to this program by anyone? If yes, who? (please include full name)