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Which event are you planning on attending?


Please select gender.

Please check all that apply so that we may make any necessary accommodations: (feel free to add extended details for any necessary accommodations not listed).

Are you currently working with Texas Assistive and Rehabilitative Services

Please respond to the following:

Please select T-Shirt size.

I will receive financial support from the following sources (check all that apply):

Have you ever been convicted of a criminal offence

By signing this application, you are providing permission for LEAP admission staff to speak with your references, counselors, former teachers, employers, family members, and others as appropriate specific to the information you completed as part of this application. Thank you for submitting your application for the LEAP program.