Jefferson Community Youth Leadership Class of 2026 Application
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1.
First Name
(Required.)
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2.
Last name
(Required.)
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3.
School
(Required.)
4.
Grade level in the fall?
Junior
Senior
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5.
Home Street
(Required.)
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6.
City
(Required.)
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7.
State
(Required.)
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8.
Zip Code
(Required.)
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9.
Mobile Phone
(Required.)
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10.
Email address
(Required.)
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11.
What programs are you involved with at your school?
(Required.)
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12.
What do you believe a leader is?
(Required.)
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13.
What qualities should a leader have?
(Required.)
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14.
What are your hopes for the future of Jefferson Parish?
(Required.)
15.
Are you able to attend the Opening Retreat on Saturday, September 20?
Yes
No
16.
Class Sessions are scheduled on the following school days from 8:30 a.m. - 3:00 p.m.:
Wednesday, October 15, 2025 Healthcare Session
Wednesday, November 12, 2025 Education Session
Wednesday, December 10, 2025 Economic Development Session
Wednesday, January 28, 2026 Law Enforcement/Governance Session
Wednesday, February 18, 2026 Community Involvement Session
Wednesday, March 18, 2026 The Story of You, The Story of Us
Do you have permission from your school administration to attend?
Yes
No
17.
Do you have your parent/guardian's permission to participate in the program?
Yes
No
18.
Do you have any food allergies we should know about?
Yes
No
Current Progress,
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