WHEN*: 2 - 4 days in April - June
FORMAT*: Varies by location
COST*: $225 - $450
* Seminar dates/locations/cost can be found on our website at the start of 2022.
CONGRATULATIONS!
You’ve been selected to represent your school as the primary, additional or alternate student at
the
next HOBY State Leadership Seminar.
Full Name:
Preferred first name for name tag:
Address:
City, State, Zip:
Phone (H):
Phone (C):
Date of Birth: / /
Email:
T-shirt size:
S M L XL XXL XXXL
Ethnicity:
African American Asian Caucasian Latino Middle Eastern Multiracial Pacific Islander
Native American Other Prefer not to disclose
I understand I must be able to attend the seminar for the entire weekend, including overnight if the seminar is in-person.
School: Is your School title 1? Yes No
Address:
Parent/Guardian 1:
Mother Father Guardian
Phone (H):
Email:
Job Title / Employer:
Parent/Guardian 2:
Mother Father Guardian
Email:
Job Title / Employer:
I as the Guardian/Parent give permission to disclose the above information to HOBY.
Registration fee is not refundable.
Primary Student Additional Student
STATE
LEADERSHIP
SEMINARS
Gender:
Female
Male
Self-Identify
Prefer Not to Disclose
Alternate Student
Phone (W):
Phone (C):
Phone (H):
Phone (W):
Phone (C):
I would like to opt out of receiving outstanding offers from HOBY-approved scholarships, aliates, partners, and companies.
click to sign
signature
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