Girl's Application Portion

This segment is for the girl who is applying, below there will be some questions the parent/guardian must complete to submit the application.

Summer Leadership Institute
The Summer Leadership Institute is a program for high school girls entering grades 9th – 12th during the 2020-2021 school year. The Summer Leadership Institute will educate, engage, and inspire girls to be future voters, leaders, and candidates by building knowledge and skills while instilling positive attitudes towards politics and leadership.

Girls will engage in specific activities to become more savvy voters, engaged citizens, and potential future candidates and leaders. This is an educational and nonpartisan initiative. Girls will work together to complete a Community Service Project at the end.

Girls will get a $75 stipend for participation and project completion.

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* 1. Girl/Applicant's Full Name

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* 2. Girl/Applicant's Date of Birth

Date

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* 3. Girl's Primary Home Address

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* 4. Girl's Cell Phone (if applicable)

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* 5. Girl's Email Address

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* 6. Please select your preferred method of contact

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* 7. What high school do you currently attend or will attend in the Fall?

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* 8. What grade are you currently in?

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* 9. What Race/Ethnicity do you identify as? Please check all that apply.*
*(optional, for statistical purpose only)

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* 10. How did you learn about the Summer Leadership Institute? Please list name(s) if applicable.

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* 11. Are you involved or have you been involved with any Girls Inc. programs?
(Select all that apply)

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* 12. Do you have family members who have been part of the Girls Inc. Program?
(Please list there name and the program they were in)

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* 13. Will you be involved in any additional activities this summer, such as summer school, working, sport teams? If applicable, please list activities:

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* 14. Why do you want to be part of the Summer Leadership Institute?
(Please answer in two to three sentences)

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