4R Legacy Founding Cohort Interest Form
Share your details and interest to be considered for the free 10-month hybrid academy (August–May).
Welcome to 4R Legacy Leadership & Entrepreneurship Academy
🚨 NOW ACCEPTING INTEREST FOR OUR FOUNDING COHORT! 🚨What if one decision this school year could change your child's future?The 4R Legacy Leadership & Entrepreneurship Academy is officially opening its Founding Cohort Interest List for students entering grades 6–12. This FREE 10-month hybrid academy is designed to help students become confident leaders, future entrepreneurs, and community changemakers. 📅 August 2026 – May 2027📍 Hybrid (In-Person & Virtual) 🗓 Every Wednesday | 6:00 PM – 8:00 PM. Students will learn: ✔ Leadership Development✔ Financial Literacy✔ Entrepreneurship✔ Public Speaking✔ Career & College Readiness✔ Community Service✔ Professional Networking✔ Goal Setting & Personal Development. By graduation, students will have: 🎓 A Leadership Portfolio💼 A Business or Nonprofit Plan🌎 A Community Impact Project🏆 A Certificate of Completion Our goal is simple: To equip every graduate with the confidence, skills, and support to lead, serve, and one day launch their own business, nonprofit, or community initiative. 📌 Space for our Founding Cohort will be limited.
Student Information
Student Name
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First Name
Last Name
Date of Birth
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-
Month
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Day
Year
Date Picker Icon
Grade Level (2026–2027 School Year)
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Please Select
6th
7th
8th
9th
10th
11th
12th
School Name
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School District
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City
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Parent/Guardian Information
Parent/Guardian Name
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First Name
Last Name
Relationship to Student
*
Please Select
Mother
Father
Grandparent
Guardian
Other
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
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Phone
Text
Email
Student Interest
Why do you want to join the 4R Legacy Leadership & Entrepreneurship Academy?
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What leadership qualities would you like to develop through this academy?
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What are your future goals?
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College
Career
Military
Business
Nonprofit
Trade School
Undecided
Select your areas of interest:
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Leadership
Entrepreneurship
Starting a Business
Starting a Nonprofit
Financial Literacy
Public Speaking
STEM
Career Readiness
College Preparation
Community Service
Volunteerism
Networking
Personal Development
Other
Program Commitment
Are you able to attend Wednesday evening sessions from 6:00 PM–8:00 PM throughout the 10-month program?
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Yes
No
Do you have reliable transportation for in-person sessions?
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Yes
No
Are you willing to attend sessions virtually if needed?
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Yes
No
Parent Commitment
I understand this is a 10-month leadership academy and will support my student's attendance and participation.
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I agree
Communication
How did you hear about the 4R Legacy Leadership & Entrepreneurship Academy?
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Would you like to receive updates about future 4R Legacy programs and events?
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Yes
No
Thank you for your interest in the 4R Legacy Leadership & Entrepreneurship Academy! We will contact you when official applications open. Follow 4R Legacy on Facebook and Instagram for updates. Restore. Rebuild. Rise. Reach.
Submit Interest
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