2. Law Enforcement Advisory and Development Council Application
4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Your School
16. Grade
    -- Select One --101112
17. Email Address
19. Short Essay - Please explain why you believe you would be a good asset to the L.E.A.D. Council.
21. Please list any service projects you've been a part of in the past. These can be school related or through other organizations such as church, sports teams, etc.
23. What three (3) traits best describe you. Please provide an example for for each.
25. I commit to being available on Monday nights; twice per month

    1. Yes
    2. No
26. I have my parent's permission to participate in the L.E.A.D. Council

    1. Yes
    2. No
28. You will receive an email with additional information after the posted application deadline.
30. Please remember to submit your three reference forms prior to the deadline.
34. Parent Information
36. First Name
37. Last Name
39. Phone Number
40. Email Address
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

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