KidLead

Application (Ages 14-18)
Welcome!  We are excited about your interest in being a part of the best, executive-caliber leadership training program, ever created for teens.  If you have any questions, feel free to ask your Trainer. 

Name  

Female       Male

Street Address

City

 State/Province/Country/Zip Code  

Phone #

E-mail

 Trainer's E-mail (This is important.)  

Name of Host Organization

Why do you want to be a part of the LeadWell Training Program?

Give a brief example of how you've led others in teams:

Do you have any reservations about being a part of or committing to this program?  If so, please explain: