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Teen Leadership Council Teen Recommendation Form
Thank you for agreeing to submit this form on behalf of a student who is applying for the
PowerUp Teen Leadership Council
(TLC). If you have any questions regarding this program, please contact us at info@powerup4kids.org.
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1.
Your Full Name
(Required.)
*
2.
Your Employer
(Required.)
*
3.
Your Job Title
(Required.)
*
4.
Phone Number
(Required.)
*
5.
Email Address
(Required.)
*
6.
Preferred Method of Contact
(Required.)
Call
Text
Email
Other (please specify)
*
7.
Preferred Time of Contact (Monday-Friday)
(Required.)
Morning
Lunch Hour
Afternoon
Evening
Other (please specify)
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