Scholars Leadership Candidacy
Full Name
*
First Name
Middle Name
Last Name
Preferred Full Name
First Name
Last Name
E-mail
*
Confirmation Email
If under 12 Parent or Guardian MUST use their email for Scholar.
Phone Number
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What is your current enrollment status?
Scholar
Alumni
As you consider joining the Origin Scholars School Governance Bodies in your specified Leadership Classification and Role, what aspects of your professional and/academic background and expertise do you feel you will excel in this leadership role and effectively support our scholars' academic and personal growth within the governance structure?
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Leadership Classification
*
Please Select
Court (Mesial-Collegium)
Government (Mesial-Collegium)
Senate (Mesial-Collegium)
Council (Primordial-Collegium)
Advocacy (Primordial-Collegium)
Class Officer (Primitus-Lyceum)
Ambassador (Primordial-Collegium)
Scholars Alumi Parents and Educators Association
Leadership Role
*
Please Select
Chariman
Vice Chairman
President
Vice President
Secretary
Treasurer
Assistant
Officer
Member
Level Specific
*
Please Select
Primitus
Primordial
Mesial
Lyceum
Collegium
Not Applicable (Scholars Alumi Parents and Guides Association ONLY)
Available start date:
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Month
-
Day
Year
Date
Available interview date:
Signature
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