NASA Inspired Leadership Workshop - Application Form
Dates: 20th, 21st & 27th, 28th January 2024
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Name *
Student Email Address *
Student Mobile Number *
City *
Country *
School Name *
Currently studying in Class *
Parent’s/ Guardian Name *
 Parent's/ Guardian Mobile Number *
Parent's/ Guardian Email Address *
Counselor/ Principal’s Name
Counselor/ Principal’s Email
What is your motivation for doing a Leadership workshop? (Max 300 words) *
Share with an instance where you think you worked with a team and displayed leadership skills? (Max 300 words) *
Share with us who is your role model as a leader and what do you admire about them? (Max 300 words) *
Undertaking and consent by form users:-
I hereby confirm that the information provided in this form is true and correct. The application will be processed based on the details provided.

Learn with Leaders reserves the right to use this information to correspond regarding current and future programs.

Right to admissions reserved.
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