SHE INSPIRES, INC. IGNITE LEGACY LEADERS STUDENT APPLICATION

SHE INSPIRES, INC. IGNITE LEGACY LEADERS STUDENT APPLICATION
SHE INSPIRES, INC. IGNITE LEGACY LEADERS STUDENT APPLICATION

Empowering the Next Generation of Purpose-Driven Leaders
Thank yo for your interest in teh IGNITE Legacy Leaders Program. This leadership development experience is designed to help students build confidence, strengthen leadership skills, explore career opportunities, and create a vision for their future.

Please complete all sections of this application.
Student Information
Full Name
Date of Birth
Age
Grade Level
Graduation Year
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Email Address
example@example.com
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/ Guardian Information
Parent/ Guardian Information

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Information
Current High School
School district
Current GPA
Guidance Counselor Name
Guidance Counselor Email
Future Goals
What are your plans after high school?

Other
Please specify:
Intended Major or Career Interest
Dream Career
Leadership Experience
Check all that apply:

Other
Please specify:
Describe any leadership roles you have held:
Community Involvement
List volunteer activities, community service projects, or organizations you participate in:
Personal Reflection
Question 1 - What does leadership mean to you?
Question 2 - Describe a challenge you have faced and what you learned from it?
Question 3 - What impact would you like to make in your school, community, or future career?
Question 4 - If someone described your life ten years from now, what would you hope they would say about the impact you made?
Growth Areas
Which areas would you like to strengthen? (Check all that apply)
Progam Commitment
The IGNITE Legacy Leaders Program includes leadership development activities, mentorship opportunities, workshops, and community engagement experiences. I understand the expectations of participation.
Parent/ Guardian Agreement

I support my student's participation in the IGNITE Legacy Leaders Program.
Signature
Date

MonthDayYear
Date
Student Agreement

I understand that leadership requires commitment, integrity, and personal responsibility. if accepted into the IGNITE Legacy Leaders Program, I agree to participate to the best of my ability.
Signature
Date

MonthDayYear
Date
Should be Empty:

SHE INSPIRES, INC. IGNITE LEGACY LEADERS STUDENT APPLICATION

SHE INSPIRES, INC. IGNITE LEGACY LEADERS STUDENT APPLICATION

Student Information

Parent/ Guardian Information

School Information

Future Goals

Leadership Experience

Community Involvement

Personal Reflection

Growth Areas

Progam Commitment

Parent/ Guardian Agreement

Student Agreement