Application

To apply we ask that you can fill out the online aplication below or download the PDF below and fax or mail it back to us filled out.

Download PDF Application Now.

Urban Leadership Academy

3015 13th Avenue South
Minneapolis, MN 55407
Phone: (612) 729-2689
Fax: (612) 724-8401

Your name:
Gender:
Address:
City:
Zip Code:
Phone Number:
Your Email Address:
Ethnicity:
Birthday:
Grade in School in the fall:
Parents or guardians names:
Sponsoring church/para church institution:
Church representative name:

Mentor Information:

Your mentor will be an adult Christian who relates closely to your church or organization. This person will work with you during the year to assist you in completing your service-learning project. Each mentor will receive a $100 stipend. Potential mentors include pastors, teachers, coaches, and adult friends.

Potential Mentor Name:
Mentor's Address:
Mentor's City:
Mentor's Zip Code:
Mentor's Phone Number:
Relation to student, if any:

Student Questions:

1. Please tell us about yourself and why you wish to attend the Urban Leadership Boot Camp & Academy.
2. Please tell us your personal faith commitment and walk with God.
3. Please tell us about your interest and hobbies.
4. If you are selected to participate, will you be able to attend the entire retreat and Academy session?
5. How did you find out about the Urban Leadership Academy?
6. Please list the names and daytime phone numbers and/or e-mail addresses of two adult references who are not related to you.

Application

Mentor Information:

Student Questions:

Our Program