Leading Edge is
Making a Difference

Limited Edition Silver Filagree Necklace

Celebrate your love for LEI! With a $150 donation you can receive this unique handcrafted piece of art. This Art- Deco necklace is handmade out of dry wood and woven silver with a Swarovsk crystal. The signature design is reminiscent of pre-Columbian...

College Participation Response Form

DUE MARCH 2, 2012

* Required Fields

Contact Name: *
Email: *
Address: *
City: *
State: *
Zip Code: *
Phone: *
Fax:
College/University: *
We accept the invitation to participate in the Leading Edge Initiative by sending three students and a faculty advisor to participate in the components of the program. We agree to: Contribute $2,000 toward the costs of this nine-month program. Send a list of selected students by April 2, 2011 to jestina@leadingedgeinst.org. Provide appropriate compensation (stipend) and/or release time to the participating faculty or staff advisor. Maintain liability insurance coverage for our participating students and faculty/staff as they are participating in school-related activities. We understand: The financial contribution is non-refundable. The Responsibilities of Participating Parties.
Our designated Faculty/Staff Advisor for our students is:
Name: *
Title/Position: *
Address: *
City: *
State: *
Zip: *
Email: *
Phone: *
Fax:
By submitting this form, we agree to participate in Class XI of the Leading Edge Institute. We have read and understand the Responsibilities of Participating Parties. After submitting this form, please send a check in the amount of $2000 payable to the Leading Edge Insititute to the following address: Leading Edge Institute P.O. Box 59402 Birmingham, AL 35259 Envelope must be postmarked by March 2, 2012 in order to secure a spot for your team.

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