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Your Contact Information
Your Name: *
Email Address: *
Cell Phone:  xxx-xxx-xxxx
Chapter where Initiated: *
Date of Initiation: *
/ example: 07 / 2020

Mailing Addresses
Parents/Summer Address: *
City: *
State/Province: *
ZIP/Postal Code: *
Parents/Summer Phone:  
Address at School: *
City: *
State/Province: *
ZIP/Postal Code: *

School Information
College/University Name: *
Current Class: *
Major: *
Minor:
Grade Point Average (Cum): *
Expected Graduation Date: *
/ example: 07 / 2020

Please copy and paste your current resume into the following box for review

Reference 1
Name: *
Title: *
Relationship: *
Phone: *  xxx-xxx-xxxx
Email:

Reference 2
Name: *
Title: *
Relationship: *
Phone: *  xxx-xxx-xxxx
Email:

Narrative Statement - Explain why you believe you should be selected for the TKE Leadership Academy and what you hope to gain from the experience.