2022-2023 Application for 20/20 Leadership

I understand that, if I am selected as a participant in 20/20 Leadership, attendance is required when regular leadership meetings take place, and I am willing to attend the functions sponsored by the program. As a member of the organization, and as a future alumnus, I accept responsibility for my actions and will represent myself, family and 20/20 Leadership in an appropriate, polite and respectful manner. I will not engage in bullying, harassing or discriminating behavior. I understand that if I fail to meet any part of the obligations of participating, I may be asked to withdraw from the program.

Please provide your parent/guardian contact information. Once you create your account, your parent/guardian needs to approve your application by providing an electronic signature on the Parent/Guardian Approval Form. You will find the Parent/Guardian Approval Form on your student dashboard after you log in for the first time. Your parent/guardian will then receive an email with instructions on approving your application. Once we receive your Parent/Guardian Approval Form, your application will be forwarded to your school for final approval.

Notification Statement of Nondiscrimination for MOKAN 20/20 Vision dba 20/20 Leadership: In compliance with the Executive Order 1124: Title II of the Education Amendments of 1976; Title VI of the Civil Rights Act of 1964, as amended by the Equal Employment Opportunity Act of 1972; Title IX Regulation Implementing Education Amendment of 1972; Section 504 of the Rehabilitation Act of 1973; and all other Federal, State, School rules, laws, regulations and policies. 20/20 Leadership of Johnson and Wyandotte Counties in Kansas and Jackson County, Missouri shall not discriminate on the basis of sex, race, color, national origin, or handicap in the programs or activities which it operates.