National Student Leadership Conference (NSLC) Summer Programs

FeaturedRecently Updated

Thank you for expressing interest in National Student Leadership Conference (NSLC) Summer Programs.

"*" indicates required fields

This field is hidden when viewing the form

Category

Summer Programs

Gap Year Programs

After-School Enrichment

Volunteer Opportunities

Private Schools

Colleges & Universities

Service Providers

Who is filling in this form?*

Choose from the listI am the studentI am the parent

Student Name*

First Middle Last

Student Nationality*

Student Gender*

Male

Female

Non-Binary

Decline to State

Date of Birth*

MM123456789101112

DD12345678910111213141516171819202122232425262728293031

YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Student Email*

Student Phone*

This field is hidden when viewing the form

Name of Current School

Name of Current School

This field is required

Current Age*

Select AgeUnder 1313 - 19Above 19

Current Grade*

Select GradeBelow 7th7th8th9th10th11th12thCollegeNone of the Above

Address - Same as Parent

Address - Same as Parent

Country of Residence*

Select CountryUnited StatesCanadaArgentinaArubaAustraliaAustriaBahamasBaliBarbadosBelgiumBelizeBoliviaBonaireBorneoBosniaBotswanaBrazilBulgariaBurkina FasoCambodiaCameroonChileChinaColombiaCosta RicaCroatiaCubaCzech RepublicDenmarkDominican RepublicEcuadorEgyptEl SalvadorEstoniaFijiFinlandFranceGalapagos IslandsGambiaGeorgiaGermanyGhanaGreeceGuadeloupeGuatemalaHaitiHawaiiHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaLaosLatviaLebanonLithuaniaMadagascarMalawiMalaysiaMauritiusMexicoMoldova, Republic ofMongoliaMoroccoMozambiqueMultiple LocationsMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigeriaNorwayOmanPakistanPanamaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaSamoaSaudi ArabiaScotlandSenegalSikkimSingaporeSlovakiaSloveniaSouth AfricaSouth KoreaSpainSri LankaSt. VincentSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaThailandTimor-LesteTrinidad and TobagoTurkeyUgandaUkraineUnited Arab EmiratesUnited KingdomUnknownUruguayVenezuelaVietnamVirgin Islands, BritWalesZambiaZimbabwe

Mailing Address*

City*

State*

Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming

Zip/Postal Code*

Consent

Yes, I consent to be added to TeenLife email list. I understand that I can unsubscribe at any time.

Parent Name*

Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Salutation First Last

Parent Phone*

Parent Email*

Address - Same as Student

Address - Same as Student

Country of Residence*

Select CountryUnited StatesCanadaArgentinaArubaAustraliaAustriaBahamasBaliBarbadosBelgiumBelizeBoliviaBonaireBorneoBosniaBotswanaBrazilBulgariaBurkina FasoCambodiaCameroonChileChinaColombiaCosta RicaCroatiaCubaCzech RepublicDenmarkDominican RepublicEcuadorEgyptEl SalvadorEstoniaFijiFinlandFranceGalapagos IslandsGambiaGeorgiaGermanyGhanaGreeceGuadeloupeGuatemalaHaitiHawaiiHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaLaosLatviaLebanonLithuaniaMadagascarMalawiMalaysiaMauritiusMexicoMoldova, Republic ofMongoliaMoroccoMozambiqueMultiple LocationsMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigeriaNorwayOmanPakistanPanamaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaSamoaSaudi ArabiaScotlandSenegalSikkimSingaporeSlovakiaSloveniaSouth AfricaSouth KoreaSpainSri LankaSt. VincentSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaThailandTimor-LesteTrinidad and TobagoTurkeyUgandaUkraineUnited Arab EmiratesUnited KingdomUnknownUruguayVenezuelaVietnamVirgin Islands, BritWalesZambiaZimbabwe

Mailing Address*

City*

State*

Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming

Zip/Postal Code*

Consent

Yes, I consent to be added to TeenLife email list. I understand that I can unsubscribe at any time.

Add More Details

PARENT/GUARDIAN 2

Parent Name*

Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Salutation First Last

Parent Phone*

Parent Email*

Address - Same as Parent

Address - Same as Parent

Country of Residence*

Select CountryUnited StatesCanadaArgentinaArubaAustraliaAustriaBahamasBaliBarbadosBelgiumBelizeBoliviaBonaireBorneoBosniaBotswanaBrazilBulgariaBurkina FasoCambodiaCameroonChileChinaColombiaCosta RicaCroatiaCubaCzech RepublicDenmarkDominican RepublicEcuadorEgyptEl SalvadorEstoniaFijiFinlandFranceGalapagos IslandsGambiaGeorgiaGermanyGhanaGreeceGuadeloupeGuatemalaHaitiHawaiiHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaLaosLatviaLebanonLithuaniaMadagascarMalawiMalaysiaMauritiusMexicoMoldova, Republic ofMongoliaMoroccoMozambiqueMultiple LocationsMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigeriaNorwayOmanPakistanPanamaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaSamoaSaudi ArabiaScotlandSenegalSikkimSingaporeSlovakiaSloveniaSouth AfricaSouth KoreaSpainSri LankaSt. VincentSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaThailandTimor-LesteTrinidad and TobagoTurkeyUgandaUkraineUnited Arab EmiratesUnited KingdomUnknownUruguayVenezuelaVietnamVirgin Islands, BritWalesZambiaZimbabwe

Mailing Address*

City*

State*

Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming

Zip/Postal Code*

Consent

Yes, I consent to be added to TeenLife email list. I understand that I can unsubscribe at any time.

Comments

By clicking “Submit”, you confirm that you are at least 13 years of age and agree to be contacted by this organization. You also agree to the TeenLife Terms & Conditions and Privacy Policy.

This field is hidden when viewing the form

Listing Type

This field is hidden when viewing the form

Listing Category

This field is hidden when viewing the form

Listing Name

Comments

This field is for validation purposes and should be left unchanged.