Agenda KC Student Registration

* Required field
First name:*
Initial:  Last name:* 
Address:*
City:*
State:*
ZIP:*
Phone:*
E-mail:*
School:*
GPA:*
Grade:*
                  Gender: Male      Female        
 Age: 
Do you have a job?*        Yes       No                           If yes:    Full-time       Part-time
How did you hear about the Agenda KC Leadership Conference?

What do you hope to gain from this conference?

Have you participated in any of these City-sponsored events?
 Bright Future Employment Fair
National Youth Service Day
Job shadowing
Community service projects
What are your plans after high school graduation? 
If trade school, please specify the type: 
If "other," please specify:
What are your career goals?
Will you be attending the breakfast and welcome from 7:30-8 a.m.?
 Yes        No
Will you be attending the keynote lunch from noon to 1 p.m.?
 Yes        No
Please select the four workshops you plan to attend:      (view workshop descriptions)
Session A, 8:15-9 a.m.*
Session B, 9:15-10 a.m.*
Session C, 10:15-11 a.m.*
Session D, 11:15 a.m.-noon*