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National Teen Leadership Program
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Completing this application does not commit you to our program. Registrations are not confirmed until payment is received. If you have more questions than are answered in this website or just want to talk to a live person, please feel free to call: 800-550-1950.
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If you are an advisor, teacher, community organizer, etc. please do not fill out information on this page. Please click here.

Please tell us a little about yourself:
Please complete the following information to receive your first packet from NTLP! Please be sure we have your correct EMAIL address as we would like to save a few trees and email this information to you.
Correct: Cindy Student - Incorrect: cindy student - Incorrect: CINDY STUDENT
First Name
Last Name:
E-mail Address:
Repeat E-mail Address:


Male Female
Address (Mailing Address):
City:
State:
Zip code:
Phone Number:
i.e. 800-550-1950
Year of Graduation:
2010
2011
2012
2013
2014
Please indicate preferred location:

Southern California Location
Chapman University, Orange CA
July 9 - 11, 2010

Northern California Location
UC Davis, Davis, CA
July 23 - 25, 2010
Tell us About your School:
School Name:
Just a little bit more:
Please tell us how you heard about NTLP!
I got an Email
I got a letter in the mail to my home address
I got a letter to my attention at my school's address
My school gave me a brochure (or copy of)
Someone who has gone before told me about it
I found you randomly surfing the internet
I found you at summercamps.com
I found you at kidscamp.com
I found you at myspace.com
I found you on Facebook.
I saw an article about NTLP in the Newspaper
We would like to learn more about you. Please take a moment to tell us a little about yourself. i.e. activities that you have been involved in at school or in your community. MAX 50 WORDS
Submitting this application does not obligate you to attend.
Your information is confidential. We DO NOT sell or trade any information submitted to us.
Questions? Call the NTLP Office 800-550-1950

     

Copyright © 2010 • National Teen Leadership Program
PO Box 4486, El Dorado Hills California 95762 • 800-550-1950