Ideal Men President Application
Elevate, Educate, Empower
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What school do you attend?
Please Select
University of Memphis
Rus College
Arkansas Baptist College
Mississippi State University
Alcorn State University
Do you participate in any student organizations on campus? If so, please list.
What makes you a leader?
No more than 250 words
Please tell us how you plan to recruit on your college campus.
No more than 500 words
Would you like to join our email list?
Yes
No
Submit
Should be Empty: