2024 tSB Core Program Prophet Application

This application needs to be finished and submitted no later than December 1st, 2023!

We will let you know if you have been accepted to the program the week of January 16-20th.

TO COMPLETE THIS APPLICATION YOU WILL NEED:

About 15 to 30 minutes to complete this application
Your contact information and household income information
The names and contact information of 3 references (can be friends, teachers, family, employers, etc.)

IMPORTANT: PLEASE TELL YOUR PARENTS/GUARDIANS BEFORE APPLYING TO THIS PROGRAM

It's a large time commitment and it works out a lot better if your parents, guardians, and/or families are aware of your desire to participate in Core Program.

2024 Core Program

Each year, the Service Board brings together a group of high school students and adult mentors from a diverse range of academic, racial, cultural and economic backgrounds to engage in our Core Program. Program participants meet twice weekly from beginning of winter through spring. Weekday workshops focus on engaging discussions encompassing a broad range of social justice topics. Weekend activities during Core Program rotate between intensive service learning projects and snowboarding, hence our name: the Service Board. After much consideration and a lot of community conversations, we have decided to make some changes to Core Program. This year's Core Program will be 4 months long, beginning in late January and ending mid-May. We believe this change will provide more flexibility for all of our participants and allow youth to participate in other extracurricular activities.

the Service Board (tSB) is constantly monitoring the developments of the COVID-19 pandemic closely. tSB’s Standard Operating Procedure (SOP) and programming are subject to change as public health recommendations change.

All participants, volunteers, and staff must always wear masks when participating during indoor in-person tSB activities. (Participants will be provided with a mask and hand sanitizer if needed).

Core Program Schedule and Key Dates

January: Orientation & Gear Day
January: Opening Overnight Retreat @ Soundview
May: Overnight Spring Retreat @ Mt. Hood
May: Core Program Graduation

January-March

Wednesdays 5:30-8:00 pm: Social Justice Workshops @ Rainier Valley Leadership Academy
Saturdays 7/8am - 2:00pm: Snowboarding @ Summit Snoqualmie, Crystal Mountain, & Stevens Pass

April-May

Wednesdays 5:30-8:00 pm: Social Justice Workshops @ Rainier Valley Leadership Academy

Saturdays 10 am-2 pm: Service Project @ Duwamish Hill Preserve & other sites

Name:*

First NameLast Name

I go by (preferred name):*

First NameLast NameOther

What pronouns can we use for you?:*

Gender Identity*

Email:*

Cell Phone:*

Date of Birth:*

Date

Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Additional Address (if applicable):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What neighborhood do you reside in?: *

Ex: Beacon Hill, Central District, Rainier Beach, Hillman City, Capitol Hill etc...

Home Phone #:

Optional*

Best time to call and preferred means of communication?:*

Call, text, email...etc.

High School:*

Grade:*

Racial Identity: We acknowledge that while race is a social construct, racism is real and continues to disproportionately impact communities of color. We ask registrants to self-identify their racial identity so that we can evaluate our racial equity efforts. Which of the following racial identities do you most identify with? Please check all that apply:*

Please describe your ethnic background: *

Ex: Ethiopian, Cuban, Mexican, Vietnamese, etc.

Optional- Do you personally identify as or with any of these things? We ask you for demographic data specifically for grant and funding reporting purposes. This information will remain anonymous when counted and never be shared by any means outside of tSB. (Please select all that apply):

Is any of your immediate family currently serving in the military or a veteran?:*

YesNo

Is English the primary language spoken in your home?:*

YesNo

Language(s) spoken at home:*

Primary Guardian Name:*

Primary Guardian Phone:*

Primary Guardian Email:*

Primary Guardian relationship to you:*

Ex: Mom/Dad, Aunt, Grandparent etc.

Do you live in a single-parent household?:*

YesNo

Household Income (Annual):*

This is strictly for grant purposes- if you as a young person don't know the answer please ask your parent or guardian for this information.

Total number of people in your household:*

Total number of people under 18 in household:*

Are you eligible for free or reduced lunch?:*

YesNoI'm not sure

Do you have reliable access to technology? (Such as - internet connection, computer, laptop, smartphone, or tablet):*

YesNo

Do you have any scheduling conflicts with Wednesday evening (5:30-8 pm) and Saturday day programming events from January to May 2023?:*

Saturdays (Jan-April) are snowboarding ~7am-3pm // Service Projects (April-May) are usually from 10 am- 2 pm

How did you hear about the Service Board (tSB)?:*

We'd love to know names, if you can remember them!

Have you ever been snowboarding before? YES or NO -- If YES, how many times? Did you enjoy it?:*

What are your plans after high school? What are your dreams?: *

What do you hope to gain from being part of our program?:*

What are two skills or talents you can bring to the Service Board?:*

Who do you look up to and why?:*

I am excited to go to school:*

My classes are engaging:*

I am motivated to pursue continuing education after high school:*

I feel confident about getting my first job:*

I have access to opportunities for developing career skills:*

I have at least one adult who I feel comfortable talking to about challenges in my life:*

I identify with a community group outside of school:*

I frequently engage in after school activities and programs:*

I engage in activities that challenge my comfort zone:*

I am comfortable in the outdoors:*

I have been on multiple camping trips with my family or friends:*

First Reference*

Second Reference*

Third Reference*

One More Thing! Core Program has a pay what you can cost associated with it. If you are accepted into the program, we will send you a payment form to go over with your family. There are multiple way to pay including monthly installments and payment options are on a sliding scale. No one will be turned away becuase of inability to pay.

Signature of applicant:

Clear

2024 tSB Core Program Application (Prophet)

Questions? Contact Us!

Basic Information

Household Information

Essay Questions

These next questions check what fits best for you.

Education

Employment

Community

Adventure

Please provide three references. Your references may be friends, neighbors, teachers, employers or family members.