iLead+Design Application

 

Name *
Name
Student Phone Number *
Student Phone Number
Address *
Address
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone
Parent/Guardian Phone
Please name a teacher who is familiar with you and your work as a student and/or as a young leader. Please have them send a short recommendation to the Lyceum to joyce@lyceum.org. *
Please name a teacher who is familiar with you and your work as a student and/or as a young leader. Please have them send a short recommendation to the Lyceum to joyce@lyceum.org.
Teacher phone (if available)
Teacher phone (if available)
iLead+Design will be operating two groups this year, one in Salinas out of the Steinbeck center, and one in Monterey out of MIIS. Please indicate your preferred location. Note that there is no guarantee your location will be available, and you may be offered a spot in either location, depending on demand. *