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Developing Leaders Academy 2023

  1. Application Form
  2. Emergency Contact Information
  3. What District do you live in?*
  4. Media/Photo Release: Photographs/Video may be taken during the developing Leaders Academy. They City of Las Cruces may utilize these photos/videos for brochures, presentations, social media or newsletters.
  5. Parent/Legal Guardian Consent
  6. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  7. Statement of Committment
  8. The purpose of Developing Leaders Academy is for High School students to gain knowledge about how local government works and the resources it provides to improve the community's quality of life.
  9. I commit to attend all five (5) sessions.*
  10. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  11. Leave This Blank:

  12. This field is not part of the form submission.