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* 1. First Name

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* 2. Last name

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* 3. School

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* 4. Grade level in the fall?

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* 5. Home Street

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Mobile Phone

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* 10. Email address

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* 11. What programs are you involved with at your school?

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* 12. What do you believe a leader is?

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* 13. What qualities should a leader have?

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* 14. What are your hopes for the future of Jefferson Parish?

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* 15. Are you able to attend the Opening Retreat on Saturday, September 14?

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* 16. Class Sessions are scheduled on the following school days from 8:30 a.m. - 3:00 p.m.:
Wednesday, October 16, 2024 Healthcare Session
Wednesday, November 13, 2024 Education Session
Wednesday, December 11, 2024 Economic Development Session
Wednesday, January 15, 2025 Law Enforcement Session
Wednesday, February 19, 2025 DEI Session
Wednesday, March 19, 2025 Community Involvement Session

Do you have permission from your school administration to attend?

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* 17. Do you have your parent/guardian's permission to participate in the program?

0 of 17 answered
 

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