Youth ERA

Youth ERA

(Youth Empowering Representatives of Ashland)
Membership Application
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cell Phone Number
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Work Phone Number
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Email
example@example.com
Emergency Contact
Primary Contact

First Name Last Name
Relationship
Cell Phone Number
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Home Phone Number
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Secondary Contact

First Name Last Name
Relationship
Cell Phone Number
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
Are you attending school?

Yes No
If you answered "Yes," what grade or year are you in? blanks
School/College/University Name: blanks
City: blank
What is your current GPA? blank
What is your motivation/passion that drove you to apply for Youth ERA and why?
How do you stay professional at work and outside of work?
What is an issue or problem in your community that you would help change through Youth ERA?
What is something you bring to Youth ERA that makes you stand out from other candidates?
Who is your favorite artist (Musician, painter, writer, etc.)? Favorite lyric? Why?
Youth ERA has positions/roles within the group. Please select all roles that you would like to hold and be nominated for.

If you do not wish to pursue a role at this time, this is optional and will not affect your application.
The President of Youth ERA shall: Co-facilitate all meetings of Youth ERA; Attend Youth ERA planning meetings; Keep members focused and on track during meetings; Fulfill other such duties as may be assigned by the Youth ERA.

Interested in President
The Vice President of Youth ERA shall: Co-facilitate all meetings of Youth ERA; Perform the duties of the President in the absence of or at the request of the President; Fill the unexpired term if a vacancy occurs in the office of President; Attend Youth ERA planning meetings; Keep members focused and on track during meetings; Fulfill other such duties as may be assigned by the Youth ERA, Advisor, Fellows, and the President.

Interested in Vice President
The Group Chat Manager shall: Send reminders to Youth ERA for upcoming Youth ERA meetings; Send reminders to Youth ERA for upcoming internal and external events, meetings, important dates; Create a monthlycalendar to keep track of meetings; Create attendancesheet to keep track of attendance for each meeting; Fulfill other such duties as may be assigned by the Youth ERA, Advisor, Fellows and the President.

Interested in Group Chat Manager
The Reporter shall: Record the minutes ofall meetings of the Youth ERA and turn them in to the staff advisor at the end of each meeting; Take attendance; Conduct correspondence as directed by the Youth ERA or the President; Reports to President and Vice President monthly to make sure progress has been made on action items; Fulfill other such duties as may be assigned by Youth ERA, Advisor, Fellows and President.

Interested in Reporter
The Energizer shall: Choose icebreakers, keep track of breaks; keep meetings active and productive; Bring fun, energy, andpositivity to all meetings; Fulfill such otherduties as may be assigned by the Youth ERA, Advisor, Fellows and President.

Interested in Energizer
The Techy shall: Set up Zoom meetings and video conferencing equipment where necessary; Set up links/videos/external USB drives; Report any issues to Advisor, Fellows and President; Fulfill other such duties as may be assigned by Youth ERA, Advisor, Fellows and President.

Interested in Techy
Other
Aside from your regular Youth ERA hours, will you be available to participate in REACH events (1-2 evenings every month)?

Yes No
Signature

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Date

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Date
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Youth ERA

Membership Application

Emergency Contact

Youth ERA has positions/roles within the group. Please select all roles that you would like to hold and be nominated for.