Full Name*First NameLast NameE-mail*Phone Number*Area CodePhone NumberSchool*Grade*What type of events do you like?*Why do you want to be a leader?*What would you like to accomplish as a Cteen Leader?*What skills do you have that will make you a good leader?*Can you commit to coming to the events every Wednesday?*YesNoCan you commit to bringing friends to events?*YesNoCan you commit to promoting events?*YesNoWill you add Cteen Leader to your Instagram bio?*YesNoReference 1 Name*First NameLast NameRreference 1 Phone Number*Area CodePhone NumberReference 1 Relationship to you*Reference 2 Name*First NameLast NameReference 2 Phone Number*Area CodePhone NumberReference 2 Relationship to you*Parent's Name*First NameLast NameParent's Phone Number*Area CodePhone NumberSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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