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Application for the Ed100 Academy for Student Leaders

The Ed100 Academy for Student Leaders

ATTENTION, STUDENT LEADERS!
The summer conference of the Ed100 Academy for Student Leaders will be conducted online, June 20-22 . Use this form to apply for membership in the Academy and admission to the conference. There is no cost.

WHAT IS THE Ed100 STUDENT ACADEMY?
This free program is designed to help you connect with civic engagement opportunities to learn and lead, in partnership with other student leaders all over California. You can learn much more about it at https://ed100.org/academy. Ed100.org is a free site that supports the development of informed school communities.

WHO SHOULD APPLY?
Students age 13 and above are invited to apply. The Ed100 Academy is for students who serve in a leadership role *or who aspire to do so in the future.* Leadership isn't just about holding a traditional office. This program is most powerful when a school delegation includes diverse students from each grade level. (College students may also apply.)

WHEN ARE THE APPLICATION DEADLINES?
The early application deadline is April 14.
The standard application deadline is May 16.
The final application deadline is June 17.

THE Ed100 STUDENT ACADEMY CERTIFICATE
In August 2022, you'll receive a link to download your Ed100 Academy Certificate, which will reflect your participation in each day of the Ed100 Academy Summer Conference.

— IMPORTANT NOTE ABOUT YOUR EMAIL ADDRESS —
Please apply ONCE using your own, personal, long-term email address, such as a personal Gmail address. Don't use an email address provided by your school! School e-mail servers tend to block incoming emails, which makes it impossible for us to give you the information you need to attend. Last year many students were unable to participate for this reason.

Information you provide in this application form will be used in the selection process and to contact you. It will not be sold.

Email*

First Name*

Last Name*

Phone*

Your High School Graduation Year*

School Name*

City/Town*

State*

Alumni of Ed100 Summer Conference*

What race(s)/ethnicit(ies) do you identify with?

Gender identity

How did you hear about this program?*

Email address of person who recommended you

Aspirations: What do you hope to get out of participating in the Ed100 Academy?*

Target leadership position: In the school year ahead, what leadership role do you hope to serve?*

Ed100 Usage: How much have you already used ed100.org?*

Priority issue: Please tell us one issue you care about as a student leader and why.*

Why you? : Please tell us why you should be selected as a member of the Academy.*

Anything else we should know? : If you have questions you can ask us here.

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