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Feminist Leadership Academy Application 2019-2020
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Personal Information
First Name
Last Name
Pronoun(s)
Birthdate (mm/dd/yyyy)
Age
Applicant must be between the age of 16 - 25 at time of submission. Exceptions may be made by management on a case by case basis.
Current School (If attending school)
If not attending school, enter "not attending" or "graduated" or "other"
Do you have any accommodations or needs
Gender
Female
Male
Transgender
Non-Binary
Birth Date
Preferred Language
Arabic
Chinese (China)
English (United States)
Spanish; Castilian (Mexico)
Phone Number
Email
Screen Name
Screen Name 2
Screen Name 3
Contact Information
Street Address
City
State
Zip Code
Leadership & Interests
How did you hear about the Feminist Leadership Academy (FLA)?
If you could change anything in your community, what would it be and why?
Why do you want to be part of the Feminist Leadership Academy?
What do you hope to gain from this experience? What skills do you hope to develop or strengthen?
Do you know anyone else who would be interested in joining FLA?