FY23 SWENext High School Leadership Academy (SHLA) Application

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* 1. Please enter your name and email address.

Name

Email Address

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* 2. What are your preferred pronouns?

SHE/HER/HERS

THEY/THEM/THEIRS

HE/HIM/HIS

ZIE/ZIR/ZIRS

Prefer Not To Answer

Other (please specify)

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* 3. Which of the following best describes your race/ethnicity?

White (Caucasian)

White (Middle Eastern or North African)

Hispanic/Latino

Black/African and or African American

Indigenous American or American Indian

Asian/Pacific Islander

Prefer Not To Answer

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* 4. Do you live in the US?

Yes

No

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* 5. Do you require special assistance to fully participate in this virtual program? If yes, please explain. If no, leave blank.