College Admissions Form

Youth HPV Champions AMBASSADOR Application

Youth HPV Champions Ambassadors are highly motivated individuals who work in liaison with high schools and the executive council to create immersive experiences at their respective high schools that empower youth to take ownership of their health, equipping them with the knowledge, resources, and confidence to make informed decisions regarding HPV prevention. We've had a total of two application rounds already. Applications are currently ROLLING. Feel free to contact us with further questions at youthchamps@immunizeor.org
Name*

First NameMiddle Initial (If none, write N/A)Last Name
Gender*

MaleFemaleOther
What state are you from?*
Phone*
E-mail Address*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you speak any languages other than English?*

YesNo
Please list them

Essay Supplements

There is no word limit to the following questions. Please fill them out to the best of your ability.
What motivated you to apply for a position as a Youth HPV Champions Ambassador?*
What skills, experiences, or connections will you bring to your position as an ambassador that make you suitable for this role?*
The role of an ambassador is to organize HPV awareness events at their respective high schools. Give us an example of an event you would host at your high school if selected as an ambassador.*
What is your availability and how many hours per week are you able to commit to fulfilling the responsibilities of a Youth HPV Champions Ambassador?*
Youth HPV Champions Ambassadors typically require 1-2 hours a week.
Please upload your resume below (Optional)

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Youth HPV Champions AMBASSADOR Application