Clone of RISE Sign Up Form

R.I.S.E. Application

RISE Summer Leadership Experience presented by Leaders of Today
SECTION 1: Basic Information
Student Full Name*
Grade *
Student Age*
School*
Student Email*
example@example.com
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Name *

First NameLast Name
Parent/Guardian E-mail*
example@example.com
Parent/Guardian Phone Number*
Format: (000) 000-0000.
Dietary Restrictions (Type N/A if you have none)*
I hereby grant permission to Leaders of Today to use photographs and/or videos of me taken throughout the Leaders of Today program in publications, news releases, online, on social media, and other communications related to the mission of Leaders of Today.

Powered by Jotform SignClear
How did you hear about R.I.S.E.?*
SECTION 2: Required Questions

Please answer ALL questions in at at least one paragraph.
What is something you’ve been afraid to speak up about — but wish you had? *
How would your friends describe you in one word? What word do you wish they’d use? *
SECTION 3: Choose ONE: Pick ONE of the following prompts and answer in writing or video.

1. My Superpower Story – Share a story that shows what makes you unique. 2. This is Me – Describe your identity, your culture, or what makes you you. 3. When I Failed… – Tell us about a time you messed up and what you learned.
File Upload

Cancelof
If video provided type N/A here*
SECTION 4: Short Answers

Please answer prompts in less than a paragraph.
What’s one fear you want to overcome?*
What’s a topic you could talk about forever?*
What song makes you feel unstoppable?*
SECTION 5: Your Commitment
YesNo
YesNo
YesNo
The RISE Leadership Experience is a $60 investment in yourself. A $10 non-refundable application fee is due at the time you submit your application. If accepted into the experience, an additional $50 participation fee will be required to secure your spot. Students will be notified of acceptance by June 6, and the remaining $50 will be due by August 3. By submitting this application, you acknowledge that you understand the total cost and agree to uphold this financial commitment if accepted.

YesNo
SECTION 6: Recommendation Letter

(Optional but Valuable)
File Upload

Cancelof
SECTION 7: Application Fee

This is not payment for the conference. It is only an application fee. If you are accepted into the RISE Leadership Experiance, you will be charged an additional $50 to attend.

RISE Leadership Experiance Application Fee*

Application Fee

This is an application fee for the RISE Leadership Experience. If you are accepted into the program, there will be an additional $50 fee to attend.

$10.00

Enter coupon

Total

$0.00

If you have any questions about the appliacation or the R.I.S.E. Program, please feel free to reach out to Jordan at Jordan@leadersoftodayco.com.
Should be Empty:

R.I.S.E. Application

SECTION 1: Basic Information

SECTION 2: Required Questions

SECTION 3: Choose ONE: Pick ONE of the following prompts and answer in writing or video.

SECTION 4: Short Answers

SECTION 5: Your Commitment

SECTION 6: Recommendation Letter

SECTION 7: Application Fee