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Student Leader PERCEPTION-VISION FORM

Rebirth Empowerment Academy Online Student Leader Perception/Vision Form

THIS FORM IS BETWEEN YOU AND YOUR ACADEMY LEADERS and is PROVIDED TO HELP US GET TO KNOW!

Full Name

Nickname or name you wish to be addressed

WHAT SKILLS-GIFTS-OR TALENTS DO YOU HAVE?

WHAT DO YOU CARE ABOUT THE MOST?

WHAT ISSUES ARE MOST IMPORTANT TO YOU?

WHAT DOES LEADERSHIP MEAN TO YOU?

IF YOU COULD CHANGE THE WORLD-What would you do?

WHAT ARE YOUR CURRENT & FUTURE GOALS/DREAMS?

ARE YOU COMFORTABLE SPEAKING/SHARING IN FRONT OF OTHERS?

*Optional SKILLS YOU WOULD LIKE TO LEARN AT YOUR ACADEMY

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253-380-4440

info@rebirthempowermentacademy.com

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1211 123rd Street CT E  
Tacoma, WA 98445

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