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Welcome to our Dreamers to Leaders application
2022 Jumping Dreams Youth Summer Internship Program
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Name
First Name
Last Name
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E-mail
example@example.com
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3
Phone Number
Area Code
Phone Number
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4
T-shirt Size :
Adult Small
Adult Medium
Adult Large
Adult XL
Adult Small
Adult Medium
Adult Large
Adult XL
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5
Grade:
Please Select
Please Select
Please Select
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Parent/Guardian Name
First Name
Last Name
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7
Parent/Guardian Phone number
Area Code
Phone Number
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8
Parent/Guardian E-mail
example@example.com
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9
Emergency Contact
First Name
Last Name
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10
Phone Number
Area Code
Phone Number
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11
Any allergies ?
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12
Tell us why you want to Intern with Jumping Dreams DD this summer?
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13
Are you traveling this summer, if so when?
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14
Select the locations you are able to go to if selected..
Harrisburg, NC
South Charlotte NC
West Charlotte, NC
Uptown Charlotte, NC
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15
What do you hope to learn from this internship?
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16
Report card upload
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