Selfless Love Academy - Texas

Apply for a chance to participate in the 2026-2027 leadership program

*Applications are due by Friday, August 14.
Your Name Your Name * First Last
Date of Birth Date of Birth * / MM / DD YYYY
Email *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number *
Associated Child Welfare Agency *
Upload your agency or Youth Council logo.

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Agency or Youth Council Instagram Handle
Agency or Youth Council Facebook Page
Agency or Youth Council TikTok Account
What dream do you hope to achieve in the future? Describe how it will impact the lives of others or yourself. *
How did Dale Carnegie help you prepare for your dream? *
If selected, what impact do you hope this program will have on your life (personal or professional)? *
Selfless Love Academy requires a nine-month commitment with virtual classes, individual coaching, and two travel requirements. Are you willing and able to fully participate? *

Selfless Love Academy requires a nine-month commitment with virtual classes, individual coaching, and two travel requirements. Are you willing and able to fully participate? Yes No
Please upload a professional headshot. (No filters) *

Attach Files
Please submit a 30-second video on why you want to be a Selfless Love Academy student. Insert the URL link to your video here (i.e. google drive doc link, dropbox link, etc.). *
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. *

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Selfless Love Academy - Texas

Selfless Love Academy - Texas

*Applications are due by Friday, August 14.