ALSF Leadership Application

Thank you for your interest in the 2016 ALSF Leadership Academy.

This application will ask for personal contact information, parent or guardian contact information, a personal statement (500 words or less), and 4 additional questions regarding Alex’s Lemonade Stand Foundation and the Student Leadership Academy.

When starting your application, please be prepared to answer the following questions after completing your personal contact information:

How did you hear about the ALSF Leadership Academy?
Do you have a personal connection to someone affected by childhood cancer or to Alex’s Lemonade Stand Foundation?
Please explain your past and present involvement with Alex’s Lemonade Stand Foundation (ALSF).
What would you like to gain from your experience at ALSF Leadership Academy?

In addition to completing these questions, the selection committee may wish to set up a brief phone conversation to further discuss your interests in serving as an ambassador.

Contact and General Information

Email *

Please enter an email address so we can contact you.

Last Name *

Middle Initial

First Name *

Birth Date *

Year

Month

Day

Gender *

Male

Female

Age *

School Name *

Grade *

Home Address *

City *

State *

Zip Code *

Parent/Guardian Information

Last Name *

First Name *

Parent/Guardian Email *

Daytime Phone *

Home Phone *

Cell Phone

Leave this field blank

Alex's Lemonade Stand Foundation for Childhood Cancer

ALSF Leadership Application

Featured Hero

Gabriel Velasquez

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Featured Hero

Gabriel Velasquez