2018 Colorado Springs Leadership Symposium Application

Student Information
1.  Please complete the application below to register for the 2018 Colorado Springs Leadership Symposium. For more information on the program, visit https://www.billofrightsinstitute.org/engage/students-programs-events/student-leadership-symposiums/.
2.  The red * means that the field is required.  









To comply with legal requirements, we must ask for your birthdate.
School Information


Please enter a 4-digit year (example: 2015)

Parent/Guardian Information


Referring Teacher Information
Please include the contact information for a social studies teacher (history, government, civics, economics, etc.). We may contact this teacher to provide a reference for you.


Need assistance with this form?