Application

Please complete all application information and email letter of recommendation to: [email protected] no later than Friday, September 15 2017.

You may complete the application online below, or download a PDF of the form here.

EMM Leadership Council Application

Name (First & Last) ^*

Address (including City, State, Zip Code)^*

Email Address^*

High School^*

Grade^*

Please describe what leadership means to you. Support your answer with a description of your work on at least one project or endeavor that has been important to you and your development as a leader.^*

Please give an example of at time you worked in a team or group and had to overcome an obstacle or adversity. What did you learn about yourself and about leadership from this experience?^*

What do you expect to gain/learn from this program? Why do you want to join?^*

Parent/Guardian Name^*

Parent/Guardian Phone Number^*

Parent Permission - I agree to allow my child to participate in the EMM Leadership Council^*: Yes
No