Youth Committee Application

Full Name

Email

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Age:

Grade:

School:

in Applicant

Long-Term Aspirations:

Gifts/Skillsets You Believe You Excel In:

Accomplishments (i.e. Honor Roll):

Extracurricular Activities:

Why Do You Want to Participate in the Youth Committee?

What Do You Feel You Will Contribute to the Committee?

Are You Willing to Participate in Quarterly Trainings (Public Speaking, Leadership)?

Are You Willing to Meet for an Interview with the Current Committee Members and Executive Director?

Applicant Signature

Type Your Full Name:

Application Date:

Parent/Guardian Signature:

Type Your Full Name:

Date Approved: