2018 Application Form
Free 12 Day Summer Intensive Leadership & Debate Training Program

Hosted at Hunter College, East 68th St & Lexington Ave, NYC

*Open to students 13-21 years old (or entering 7th grade students to juniors in college) 

Deadline to apply is March 30th 2018 

                                                         Early decision for invitations to interview will be sent out April15th to 30th. 

 
Name *
Name
Address *
Address
Please provide both the Middle School you are currently in and the High School you will be attending in the Fall if currently in 8th grade
Grade you will be entering Fall 2018
Select an option
MUST BE PROVIDED FOR APPLICANTS UNDER 18 YEARS OF AGE
Section 2 - Short Answers
Candidates will be selected for an interview based on their responses to the short answer portion of this application.
Consent
By submitting this form, "I do consent to the use of my picture, words, activities and images by the Bella Abzug Leadership Institute, its agents and its designates, in its future promotional and publicity efforts"