L2C | NEW STUDENT & PARENT APPLICATION
2024-2025
Student Information
Student Name
*
First Name
Last Name
Email (Please use your personal email address not your school email)
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Where do you attend school?
*
Which county is your school located in?
*
What grade will you be in 2024-2025 school year?
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6th
7th
8th
9th
10th
11th
12th
Your gender is...
*
What careers are you interested in?
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Tell us little bit about yourself. What are your interests? What are your hobbies? What are your hopes and dreams?
*
Why are you interested in becoming a L.E.E.P TO COLLEGE FOUNDATION Scholar?
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What extracurricular activities do you enjoy? What clubs, sports or other organizations do you belong to?
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Please provide your most recent report card
*
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Please provide a letter of recommendation. This letter of recommendation should be provided by someone who knows you best; someone other than your parents or guardian. Think about asking a teacher, coach, faith-based leader/member, community leader/member, an employer, etc. The letter should include your attributes, accomplishments, and contributions.
*
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Anything else you would like to share with us?
Parent/Guardian Information
Parent Name #1
*
First Name
Last Name
Email
*
example@example.com
Address (only if different from student address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Your occupation
*
Parent Name #2
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Your occupation
What brings you to L.E.E.P TO COLLEGE FOUNDATION and how can we best support your child?
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Our mission is: Shaping today's youth to become right now leaders! L.E.E.P TO COLLEGE FOUNDATION, Inc. organization, creates and supports programs that directly achieve positive outcomes for underrepresented students by improving high school graduation rates and college acceptance through educational enrichment activities, internships, community engagement, leadership development and parental involvement. What does parental involvement mean to you, when supporting an organization that supports your child?
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Why are you interested in your child becoming a L.E.E.P TO COLLEGE FOUNDATION Scholar?
*
Tell us little bit about yourself. What are your interests? What are your hobbies? What are your hopes and dreams?
*
Anything else you would like to share with us?
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