YBLA Leadership Academy Registration
Name
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First Name
Last Name
Headshot
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Please submit a picture of yourself (clearly shows your face, no group shots, and keep it appropriate)
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Email
*
example@example.com
School
*
Grade
*
Please label your child's grade level
GPA
*
Copy of Transcript
*
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Please submit your most recent high school transcript.
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Introduction Video
*
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Please submit a quick 30-45 second video introducing yourself.
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