Legacy Application

LEGACY APPLICATION

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  • General Information

  • Education Information

  • Parent/Guardian Information

  • Signature

  • If accepted I agree to fully participate and commit to Legacy Youth Leadership Program
  • MM slash DD slash YYYY
  • Student Information

  • Check-off list: Due Friday, February 18, 2022

  • Hidden
    Email Michelle Craig at mcraig@bcri.org or call 205-328-9696, extension 235.
  • Max. file size: 64 MB.
  • Max. file size: 64 MB.
  • Address and Contact

    520 Sixteenth Street North Birmingham, AL 35203 Attention Michelle Craig, mcraig@bcri.org 205-328-9696, extension 235