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Home
About Us
About TRC
Our Staff
Our Board
TRC Youth Leaders
TRC Stories
Our Impact
Programs & Services
Youth Leadership Program
Mental Health
Academic Support
Get Involved
Donate Now
Youth Leadership Program Interest Form
Youth Leadership Program Interest Form
Step
1
of
4
25%
Student Information
Student's Name
(Required)
First
Last
Student's Age
What grade is the student in?
(Required)
Freshman
Sophmore
Junior
Senior
Other
Student's Email
(Required)
***do NOT use your WCPSS email
Name of High School
(Required)
South East Raleigh HS
Enloe HS
Athens Drive HS
Knightdale HS
Wake Early College
Vernon Malon College and Career Academy
Broughton HS
Other
Parent Information
Parent or Guardian's Full Name
First
Last
Parent or Guardian's Full Name
First
Last
Parent or Guardian's Email
(Required)
Parent or Guardian's Phone Number
Address
(Required)
City
ZIP Code
Interest & Goals
What interests you most about the Youth Leadership Program?
What would you like to gain from participating?
Leadership skills
College/career preparation
Community involvement
Mentorship
Meeting other young people
Other
Are there any particular skills, interests, or goals you would like us to know about?
Have you participated in a leadership, mentoring, or youth development program before?
Yes
No
Participation
What days/times are generally easiest for you to participate?
Day
Time
Add
Remove
Are there any accommodations or accessibility needs we should be aware of?
How did you hear about the Youth Leadership Program?
Google Search
Social Media
Friend or Family Member
School or Teacher
Community Organization
TRC Event or Workshop
Email or Newsletter
Current or Former Participant
Other
Anything else you would like TRC to know?
CAPTCHA
