Covey K-12 Leadership Development Interest Form

The Stephen R. Covey Leadership Center’s mission is to develop principle-centered leaders of character and competence, who elevate society. We believe that Leadership is the greatest need in the world today.

Complete this form to be contacted about Covey K-12 Leadership Center Staff so that we can find the best way to help students in your organization develop leadership skills.

Contact Information

First Name

Last Name

Title

Your School Email Address

Your School Phone Number

Mobile Phone Number

School Information

School Level

ElementaryJr. High/Middle SchoolHigh School

School Name

School District

Approximately how many student participants would there be?

Elementary Grades (select all that apply)

1st

2nd3rd4th5th6th

Which Elementary Leadership Opportunities are you interested in?

Elementary Leadership ConferenceElementary School AssemblyOther

Please describe what type of Elementary Leadership Training you are interested in.

Jr. High/Middle School (select all that apply)

6th7th8th9th

Which Jr. High/Middle School Leadership Opportunities are you interested in?

Emerging Leaders ConferenceOther

Please describe what type of Jr. High/Middle School Leadership Training you are interested in.

High School (select all that apply)

9th10th11th12th

Which High School Leadership Opportunities are you interested in?

CTSO Leadership ConferenceStudent GovernmentSport Team Leadership ConferenceOther

CTE Club(s) you advise:

Please describe what type of High School Leadership Training you are interested in.

Is there anything else it would be helpful for us to know?

Contact Information

Questions/Issues: huntsman@usu.edu

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