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The Renaud Program
Sponsored by The Brent Renaud Foundation and The Anthony School
START application
1
Your name
*
This field is required.
First Name
Last Name
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2
Your birthdate
*
This field is required.
-
Date
Month
Day
Year
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3
Your email
*
This field is required.
example@example.com
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4
Your current school
*
This field is required.
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5
Your current grade level
*
This field is required.
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6
Your parent/legal guardian's name
*
This field is required.
First Name
Last Name
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7
Your parent/legal guardian's email
*
This field is required.
example@example.com
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8
Your parent/legal guardian's phone number
*
This field is required.
Please enter a valid phone number.
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9
This program requires the usage of a camera phone. Do you have a camera phone?
*
This field is required.
Yes
No
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10
Reference #1 Name
*
This field is required.
Current or previous teacher
First Name
Last Name
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11
Reference #1 Title
*
This field is required.
Current or previous teacher
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12
Reference #1 Email
*
This field is required.
example@example.com
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13
Reference #2 Name
*
This field is required.
Current or previous teacher, employer, church or community leader, or coach
First Name
Last Name
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14
Reference #2 Title
*
This field is required.
Coach, teacher, church leader, etc.
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15
Reference #2 Email
*
This field is required.
example@example.com
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16
File Upload
*
This field is required.
Letter of recommendation
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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17
Written statement:
*
This field is required.
Please briefly describe why you want to be selected to be a part of The Renaud Program, why you have an interest in storytelling, and any experience you have with storytelling to date.
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18
T-shirt Size
*
This field is required.
Participants will receive a t-shirt
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
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