L3 2021 Leadership Conference Application

11th Annual Leadership Conference

May 20 - 22, 2022 ~ Florida State University

Tallahassee, FL
2022 Application

Thank you for applying for the 11th Annual Leadership Conference Program. Limited scholarships will be available.
Full Name*
Age*
School Name*
Grade *
Race/Ethnicity*
First time attendee?*

yesNo
Contact Information
Address*
City*
County*
State*
Zip Code*
Mobile No:*
Email*
Must ensure that you have working Email.
Instagram
@smartprettygirl
Snapchat
@smartprettygirl
Facebook
@smartprettygirl
Twitter
@smartprettygirl
Parent/Guardian 1 Full Name*
Parent/Guardian 1 Phone*
Parent/Guardian 1 Email*
Must ensure that you have working Email.
Parent/Guardian 2 Full Name
Parent/Guardian 2 Phone
Parent/Guardian 2 Email
Must ensure that you have working Email.
Other Information
Special Needs, Allergies, Medical Concerns
Special Notes
Scholarship

Check the box below if you would like to be considered for a scholarship to attend the Conference at no cost. Conference scholarships will be awarded based on need. Applicants will be contacted and notified of a final decision by May 2, 2022. NOTE: Please check "yes" ONLY if you are unable to pay for the Conference. A limited number of Conference scholarships will be awarded.
Do you wish to be considered for a scholarship?*

YesNo
Transportation

Ladies Learning to Lead will not provide transportation to/from the Leadership Conference. Transportation, if necessary, during the Conference will be provided by the City of Tallahassee on private buses.
Declaration

I hereby certify that I have gone through the above information submitted by me. The information is correct and precise and nothing has been concealed. I understand that if any part of it is found otherwise, my application is liable to be rejected.
Full Name*
Date*

DayMonthYearHourMinutesAM/PM Option
Select Payment Method
prevnext( X )
Application Fee$150.00

Pay by Check$ Free
Mail by April 30th to 1211 Governor's Square Blvd, Suite 200, Tallahassee, FL 32301

Scholarship$ Free
Based on need. Only select if unable to pay.

Total $0.00
Cancellation & Refund Policy

Program fees cannot be refunded once paid. "No shows" will not receive any refund for any reason, but will have the opportunity to obtain a Conference bag with partial materials and some prizes if we are contacted.

Program fees will be returned in the case of having to cancel the Conference due to Covid-19.

Submit your cancellation request in writing to the Event Planning Director, Suwana Janvier, at suwana@l3ladies.org.
For questions email info@L3Ladies.org.

Information packets with extensive details will be provided to all participants and parents/guardians by May 2, 2022.
Should be Empty:

2022 Application

Contact Information

Other Information

Scholarship

Transportation

Declaration

For questions email info@L3Ladies.org.