Miss CEO Summer Leadership Academy Sign-Up Form

In order to offer an intimate and inspiring learning environment where students can receive special one-on-one instruction and mentorship, we require all prospective Summer Leadership Academy students to submit an online application in order to be qualified for participation in the program. The first step is to fill out and submit the online application below. You will receive an email confirmation upon completion of the application. To ensure a spot at the Miss CEO Summer Leadership Academy, we encourage you to apply as soon as possible. Once the program is full, applications will proceed on a waiting list.

Name *
Address *
Phone *
Guardian Name *
Guardian Name
Guardian Address *
Guardian Address
Guardian Phone *
Guardian Phone