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EveryLeader Programme Registration

1. Full Name

2. Pronouns

3. Age & School Year

4. Email Address

5. Name of School / Institution

6. Where are you from? (Location & Time Zone)

7. What are you looking to gain out of this programme? (Select all that apply)

7. What are you looking to gain out of this programme? (Select all that apply)

8. I would like to be paired with a mentor

8. I would like to be paired with a mentor
A
B
C

9. What are your interests?

9. What are your interests?

10. How would you like to explore your interests further in EveryLeader?

11. Parent/guardian consent is required for your participation in this programme. Please indicate consent by signing below.

Signature

12. How did you hear about EveryLeader?

12. How did you hear about EveryLeader?

13. Any questions or comments? Alternatively, please email us at everyleader.co@gmail.com with any queries.