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

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* 2. Your Employer

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* 3. Your Job Title

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* 4. Phone Number

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* 5. Email Address

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* 6. Preferred Method of Contact

Call

Text

Email

Other (please specify)

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* 7. Preferred Time of Contact (Monday-Friday)

Morning

Lunch Hour

Afternoon

Evening

Other (please specify)