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Black Student Leaders Governor's Page Week

1.Legal First Name(Required.)
2.Legal Middle Name
3.Legal Last Name(Required.)
4.Preferred Name
5.Date of Birth(Required.)
Month/Day/Year
6.Sex(Required.)
7.Race(Required.)
8.Ethnicity(Required.)
9.Address(Required.)
10.Address(Required.)
11.Email(Required.)
12.Phone number(Required.)
13.County where you live(Required.)
14.School Name(Required.)
15.Anticipated Graduation year(Required.)
Please answer the below questions in complete sentences.
16.What are your extracurricular activities (academic and non-academic)?(Required.)
17.Why are you interested in serving as a Governor's Page?(Required.)
18.How do you imagine the program benefiting you?(Required.)
19.What is the most important quality in a leader?(Required.)
20.What has been your biggest success so far?(Required.)
21.What questions do you have about the instersection between state government and issues facing the Black community?
22.Parent/Guardian Contact Information(Required.)
Please submit the name of your References. As a reminder two references are required for your application to be complete. You are required to ensure that the Reference submits a recommendation in order for your application to be complete. 
23.Name of reference 1(Required.)
24.Name of reference 2(Required.)
Current Progress,
0 of 24 answered