*1.First Name(Required.)

*2.Last Name(Required.)

*3.Email Address(Required.)

*4.Phone Number(Required.)

*5.Birth Year(Required.)

*6.Zip Code(Required.)

*7.Do you live, work, or attend a school in Chandler?(Required.)

Yes

No

*8.Shirt size:(Required.)

Adult Small

Adult Medium

Adult Large

Adult XL

Adult XXL

*9.Emergency Contact First Name(Required.)

*10.Emergency Contact Last Name(Required.)

*11.Emergency Contact Phone Number(Required.)

*12.Why are you interested in participating in the LEAD Chandler Cohort?(Required.)

*13.What does “leadership” mean to you?(Required.)

*14.Describe a time when you took initiative or worked with others to achieve a goal.(Required.)

*15.What community issue or cause matters most to you, and why?(Required.)

*16.What do you hope to gain from this experience?(Required.)

*17.I understand that attendance is required for both program days: Friday, February 20 and Saturday, February 21, 2026.(Required.)

Yes

No

*18.I understand that submitting this application does not guarantee selection to participate.(Required.)

Yes

No

Send me a copy of my responses via email