Teen Advisory Committee Sign-Up Form
Contact Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What school do you attend?
What grade are you currently in?
Please Select
6th Grade
7th Grade
8th Grade
9th Grade - Freshman
10th Grade- Sophomore
11th Grade - Junior
12th Grade - Senior
Program Information
Why would you like to join the Teen Advisory Committee? What do you hope to gain from this experience?
Select any areas that you are most interested in
Event Planning
Marketing (Social Media, flyers, etc.)
Photography/Video
Clubs and Outings (Hiking, sports, socials, etc.)
Service/Volunteer Projects (clothing drives, volunteer projects, etc.)
Administration (budgets, meeting planning, organization, etc.)
List any extra curricular, volunteer opportunities, or community activities you have participated in.
Teen Advisory Commitee meetings are held on the 1st and 3rd Wednesday of each month from 4:30pm-6:30pm. If you were to join the Teen Advisory Commitee will you be able to attend our bi-weekly meetings?
Yes
No
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Emergency Contact Information
Emergency Contact Name
First Name
Last Name
Emergency Contact Email
example@example.com
Emergency Contact Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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