Nominate a Student for the Fred Saigh Leadership Program - Special Education Foundation of St. Louis County

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This form to be completed by the teacher and must accompany the Student Application Form.

Please complete all information on the application form. Students selected are those who demonstrate leadership potential through academics, school activities, volunteer work and community involvement. Students selected are bound for college or technological school.

Student must provide their own transportation to and from SSD Central Office.

APPLICATION MUST BE RECEIVED BY JANUARY 28, 2020.

Questions? Call David Diener at 314-394-7030 or email David at david@sef-stl.org.

NOTE: You can save your progress on this form and return within 30 days to finish your submission. Just click "Save and Continue Later" to use this feature.

ALL APPLICATIONS MUST BE SUBMITTED ONLINE! Click here for a PDF preview of the form questions.

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Nomination Application
Why do you believe this student is a good candidate for the Leadership Program?*
List student awards received and year received.*
List any positive initiatives taken by the student.*
List any student participation in school activities.*
List any areas in which the student excels, such as team-building skills, problem solving abilities, sports, arts, etc.*
Does the student possess good communication and/or facilitation skills? If so, describe.*
Student interests*
Youth programs and activities (volunteer service, leadership roles)*

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Applications Must Be Received by January 28, 2020
By signing this application you confirm you have received approval from the Principal and SSD Administrator.
Teacher Signature*

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Applicant's Information