2024/25 Thrive Teen Junior Leader Program Application

1
Your first & last name* This field is required.Teen's Name as this form is to be completed by the teen interested in our leadership program.
First Name
Last Name
2
Your Email* This field is required.Teen's email.
example@example.com
3
Your Phone Number* This field is required.Teen's phone number.
Area Code
Phone Number
4
Parent/Guardian Name* This field is required.
First Name
Last Name
5
Parent/Guardian Email* This field is required.
example@example.com
6
Parent/Guardian Phone Number* This field is required.
Area Code
Phone Number
7
Please enter your birthdate * This field is required.
Date
Month
Day
Year
8
Why do you want to be a Junior Leader at Thrive STEAM Enrichment Program?* This field is required.
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Ok
9
What is your experience working with kids?* This field is required.
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Ok
10
What are your favorite activities?* This field is required.
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Ok
11
Tell us a favorite memory from your childhood. How might you bring fun memories like that to Thrive?* This field is required.
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12
By clicking the "accept" box below, I understand this program is $125 per month and will have a regular committed time associated with it. Further, I understand that I will be scheduled for an interview to determine my eligibility and schedule to be a Teen Junior Leader at Thrive STEAM Enrichment Program.* This field is required.
I accept
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