2025 CYCLE Application

To be eligible for this leadership program, you must reside in Co-Mo Connect's service area, as well as be a sophomore in High School.

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* 1. Name

First name

Last name

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* 2. Phone Number

Country Code

Phone number

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* 3. Parent Email Address

Email address

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* 4. School Name

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* 5. English Teacher's Name

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* 6. Email Address

Email address

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* 7. Parent Phone Number

Country Code

Phone number

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* 8. Home Address

Street address

Street address line 2

City

State

Zip code

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* 9. In less than 400 words, tell us about a leader in your life who inspires you.

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* 10. The conference will take place on July 15-18, 2025. If you are chosen as a winner, are you available on that date to stay in Jefferson City? Travel, hotel, and food are provided.

Yes

No