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Application Form
Step 1 of 4 - Personal Information
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Select which chapter you are applying to
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Select a Chapter
Bal Harbour Chapter
Fort Lauderdale Chapter
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Names of Parents/Guardians
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Parents/Guardians Information
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Contact Numbers for Parents/Guardians
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Email Addresses for Parents/Guardians
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Please provide two references; Name, contact information, and their relationship to you.
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Please provide two references; Name, contact information, and their relationship to you.
Name
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Contact Information
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Relationship to you
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Name
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Contact Information
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Relationship to you
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Please provide two references; Name, contact information, and their relationship to you.
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Name
Contact Information
Relationship to you
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How did you hear about the Solomon Leadership Program?
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What volunteer work do you participate in?
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What is the name and contact information of the organization(s) you volunteer with?
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What extracurricular activities do you participate in?
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What are three words that would best describe you?
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What would you describe as your three best qualities?
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Is there anything that you would change about yourself?
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Why do you think the Solomon Leadership Program is a good fit for you?
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What do you hope to gain from your relationship with your mentor?
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Please confirm that you are available on the following days for our program meetings
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Meet & Greet - Sunday, January 3, 2021 5:00 - 7:00 pm
Character - Tuesday, January 12, 2021 5:00 - 7:00 pm
Tolerance - Tuesday, January 26, 2021 5:00 - 7:00 pm
Communication - Tuesday, February 9, 2021 5:00 - 7:00 pm
Vision - Tuesday, February 23, 2021 5:00 - 7:00 pm
Empowerment - Tuesday, March 9, 2021 5:00 - 7:00 pm
Persistence - Tuesday, April 6, 2021 5:00 - 7:00 pm
Strategy - Tuesday, April 20, 2021 5:00 - 7:00 pm
Judgment - Tuesday, May 4, 2021 5:00 - 7:00 pm
Graduation - Tuesday, May 25, 2021 5:00 - 7:00 pm
Please confirm that you are available on the following days for our program meetings
*
Meet & Greet - Monday, January 4, 2021 7:00 - 9:00 pm
Character - Wednesday, January 13, 2021 7:00 - 9:00 pm
Tolerance - Wednesday, January 27, 2021 7:00 - 9:00 pm
Communication - Wednesday, February 10, 2021 7:00 - 9:00 pm
Vision - Wednesday, February 24, 2021 7:00 - 9:00 pm
Empowerment - Wednesday, March 10, 2021 7:00 - 9:00 pm
Persistence - Wednesday, April 7, 2021 7:00 - 9:00 pm
Strategy - Wednesday, April 21, 2021 7:00 - 9:00 pm
Judgment - Wednesday, May 5, 2021 7:00 - 9:00 pm
Graduation - Wednesday, May 26, 2021 7:00 - 9:00 pm
Please confirm that you are available on the following days for our program meetings
*
Meet & Greet - Wednesday, November 6, 2019 7:00 - 9:00 pm
Character - Wednesday, November 20, 2019 7:00 - 9:00 pm
Tolerance - Wednesday, December 4, 2019 7:00 - 9:00 pm
Communication - Wednesday, December 18, 2019 7:00 - 9:00 pm
Vision - Wednesday, January 8, 2020 7:00 - 9:00 pm
Empowerment - Wednesday, January 29, 2020 7:00 - 9:00 pm
Persistence - Wednesday, February 12, 2020 7:00 - 9:00 pm
Strategy - Wednesday, February 26, 2020 7:00 - 9:00 pm
Judgment - Wednesday, March 11, 2020 7:00 - 9:00 pm
Graduation - Sunday, March 29, 2020 7:00 - 9:00 pm