Co21 Leadership Forum Registration

Class of 2021 Leadership Forum Registration

Who is the ideal candidate?

The Mentorship Program offers the Class of 2021 Leadership Forums to students who want exclusive,
small group interaction with their elected leaders and policy makers.
These students also have full access to the Co21 Scholarship Opportunities.

Let's begin! Please verify the following:

I am a Class of 2021 Graduating Senior (attending a public ISD high school in Reg XIX/El Paso County).
I have a sponsor who will pay the $50 program cost. (Verify with your parent, teacher, counselor, principal)
Each box must contain the required information.
Need more info? Email RSEPSF@gmail.com

Co21 Leadership Forums

Co21 Leadership Resources

Co21 Scholarship Opportunities

Register for the Class of 2021 Leadership Forums & Scholarship Opportunities

My info:

* Indicates required field

Full Legal Name (as it appears on your ID): *

My Gmail address *

The high school I attend *

My Cell Phone # (you will receive text messages) *

My high school info:

My principal's name: *

Principal's email address: *

My Counselor's name or Communities In Schools Coordinator's name? *

Counselor's or CIS Coordinator's email address: *

Payment info:

Who is paying your $50 program fee? (First & Last Name) *

The paying person's email address *

This person's relationship with you (parent, teacher, principal, etc.) *

Click here to pay

You will receive Class of 2021 Leadership Forum access and details about Co21 Scholarship Opportunities
once payment is confirmed.