• Youth ERA

    (Youth Empowering Representatives of Ashland)
  • Membership Application

  • Emergency Contact

  • If you answered "Yes," what grade or year are you in?
    School/College/University Name:
    City:
    What is your current GPA?

  • 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.
  • Clear
  •  -  -
    Pick a Date
  • Should be Empty:
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