2025 High School Leadership Award Student Registration Form

First Name*

Middle Name

Last Name*

Preferred Name

High School Name*

Birthdate*

Graduation Year

Email Address*

Mobile Phone Number*

Mailing Address*

Country

Street

City

Region

Postal Code

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Mobile Number

Please submit a brief paragraph, in 300 words or less, telling us more about the leadership initiative you were nominated for. Students were nominated by a high school representative to highlight a meaningful leadership ability in one of the following ways: (1) Standing up for what is right, (2) Finding a way to address a wrong, or (3) Making a difference in the community. Please use the following questions as a guide for your essay.

1.      Please tell us more about the leadership initiative that you were nominated for.
2.      In what way did you feel you exhibited elements of courage throughout your efforts?
3.      Explain how you used one or more leadership skills during your efforts.
4.      What have you learned about yourself from your efforts?

Please list the name and date of any awards or recognitions received in high school

Please list any activities, community service, or student employment held while attending high school

Academic Interest

HIDDEN: Form Date

HIDDEN: Entry Term

2025 Fall

2026 Fall