Apply for LEAPS for Peace

Name *

The name that appears on your birth certificate or passport

First Name

Last Name

Parent / Guardian *

First and Last Name of Parent or Guardian

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Organization address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

High School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Will you need financial assistance? *

Yes- I need a scholarship

No- My family will pay.

Your leadership traits *

Pick 3 of the following Leadership traits and demonstrate how you portray these traits as a leader.

Emotional Intelligence

Dynamic Communication

Influencing Others

Problem Solving

Productivity

High Energy Relationships (positive energy)

Health and Wellness

Time Management/Balance

Culture EQ

Public Service