This application for the 2017-18 Girls Leadership Program class is closed. Thank you to all who applied.

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email Address

Do we have permission to send you updates about your application and the program via text?

May we contact you via email?

High School

Current Grade

Your Age

Tell us a little about yourself

What do you think are the major issues affecting the lives of young women today?

If you had the chance to change one thing for young women, what would it be?

What excites you about the possibility of serving on this team? What do you hope to learn or gain from this experience?

What skills, resources or expertise do you feel you have to offer?

What activities do you participate in at school or in your community?

Regular attendance at team meetings and trainings is ESSENTIAL to the success of the project. If you have existing commitments that may affect your involvement with the team beginning in August, please describe them

If selected will you be able to get to and from team meetings on your own

Please give the NAMES, RELATIONSHIP and PHONE NUMBER of TWO references and ask ONE of them to email a letter of recommendation that attests to your leadership abilities and any demonstrated level of commitment to past projects

Additionally, all applicants must have one reference submit a letter of recommendation to Linda Segebrecht at linda@projectexplore.org.

OPTIONAL: Ethnicity

OPTIONAL: I live in an area that is

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