2026/27 Teen Junior Leader Program Application

1
Teen Applicant's 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
Teen Applicant's Email* This field is required.Teen's email.
example@example.com
3
Teen Applicant's 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 teen's 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
Ok
9
Do you have any experience working with kids? If so, please tell us about it.* This field is required.
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Ok
Ok
10
What are your favorite activities and/or hobbies?* This field is required.
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Ok
11
By clicking the "accept" box below, I understand the price of this program is dependent on the schedule I choose. I also understand that I will have a regular committed time to be at Thrive. 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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