25%
 
 
SuperSTARS Leadership Academy*
Application 2021 - 2022


Thank you for your interest in PowerPlay NYC's SuperSTARS Leadership Academy.  
The summer program will kick off the Academy and run from July 6 - August 13, 2021.



Next, complete the application below. Once we receive your completed application, we will reach out to request an interview with the applicant. If you have any issues completing this application, you can e-mail them to jenn@powerplaynyc.org.

*The program will be either in person, virtual or a hybrid of both based on Covid-19 guidelines. 

PowerPlay NYC - SSLA Program
4 West 43rd Street| Suite 313
NY, NY 10036

APPLICANT INFORMATION
Please select

PARENT/GUARDIAN INFORMATION

Emergency Contact:

Please select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
50%
 
 
SuperSTARS Leadership Academy*
Application 2021 - 2022


Thank you for your interest in PowerPlay NYC's SuperSTARS Leadership Academy.  
The summer program will kick off the Academy and run from July 6 - August 13, 2021.



Next, complete the application below. Once we receive your completed application, we will reach out to request an interview with the applicant. If you have any issues completing this application, you can e-mail them to jenn@powerplaynyc.org.

*The program will be either in person, virtual or a hybrid of both based on Covid-19 guidelines. 

PowerPlay NYC - SSLA Program
4 West 43rd Street| Suite 313
NY, NY 10036

APPLICANT QUESTIONS:
500 Words Max
500 Words Max
500 Words Max
500 Words Max
150 Words Max
500 Words Max
500 Words Max
500 Words Max
Your values are things that you believe are important in the way you live.
Please list your selected value and explain why you chose this value in 300 Words or less.
Please list your second value and explain why you chose this value in 300 Words or less.
Please list your third value and explain why you chose this value in 300 Words or less.
150 Words Max
300 Words Max
Please select all choices that may apply.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
75%
 
 
SuperSTARS Leadership Academy*
Application 2021 - 2022


Thank you for your interest in PowerPlay NYC's SuperSTARS Leadership Academy.  
The summer program will kick off the Academy and run from July 6 - August 13, 2021.



Next, complete the application below. Once we receive your completed application, we will reach out to request an interview with the applicant. If you have any issues completing this application, you can e-mail them to jenn@powerplaynyc.org.

*The program will be either in person, virtual or a hybrid of both based on Covid-19 guidelines. 

PowerPlay NYC - SSLA Program
4 West 43rd Street| Suite 313
NY, NY 10036



MM
/
DD
/
YYYY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
100%
 
 
SuperSTARS Leadership Academy*
Application 2021 - 2022


Thank you for your interest in PowerPlay NYC's SuperSTARS Leadership Academy.  
The summer program will kick off the Academy and run from July 6 - August 13, 2021.



Next, complete the application below. Once we receive your completed application, we will reach out to request an interview with the applicant. If you have any issues completing this application, you can e-mail them to jenn@powerplaynyc.org.

*The program will be either in person, virtual or a hybrid of both based on Covid-19 guidelines. 

PowerPlay NYC - SSLA Program
4 West 43rd Street| Suite 313
NY, NY 10036

Select One
Select One
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20