Leadership U Apply - Desperation Students

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Phone

Email*

Enter Email Confirm Email

Twitter Username

Instagram Username

Gender

Male
Female

Date Of Birth*

T-Shirt Size*

Do you attend Desperation Church?

Yes
No

Which campus do you attend?

Cullman
Jasper
Arab

What church do you attend?

Father/Legal Guardian*

First Last

Phone

Email

Mother/Legal Guardian*

First Last

Phone

Email

Are you currently enrolled in school?

Yes
No

Name of school/college:

What year of school/college are you in?

Will you have a job during Leadership U?

Yes
No

Where will you be working?

Approximately how many hours per week?

What time commitment is involved?

Do your parents support your membership in Leadership U?

Yes
No

Please explain:

If accepted, do you understand that you are making a 7-week commitment?*

Yes
No

Do you understand that your $250 tuition for this semester is non-refundable should you leave Leadership U?*

Yes
No

Are you aware that you can request up to 5 days off this semester?*

Yes
No

I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application will result in disciplinary action and denial of admission.

By signing this document I understand and agree to the terms listed above.

Signature*

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Apply for the Summer Semester of Leadership U

Leadership U Full-Time Application