LEAD Youth Program Application
Love, Educate, Advocate, & Dream is a Faith-based nonprofit organization created to support our youth in the community by teaching the importance of love, providing education, advocating on their behalf and encouraging them to dream so they can become leaders of the future.
Application Date:
Child’s Name:
Address:
Date of Birth:
Grade Level:
Name of School:
Parent or Guardian’s Name:
Name/Relationship:(if not the parent)
Contact Number:
Email:
example@example.com
Parent/guardian: Are you interested in volunteering to work with LEAD on projects and activities when available?
What are you hoping to accomplish in the LEAD program?
What are you currently struggling with?(list area of focus or concern in which you will need help)
Child’s Career Interest:
Submit
Should be Empty: