Global Youth Ambassador Volunteer Application Form
Personal Information
Personal Information
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Gender
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current School/Institution:
Grade/Year:
Native Language:
Other Languages Spoken:
Motivation and Skills
Why do you want to become a Global Youth Ambassador?
What do you hope to achieve through this program?
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Emergency Contact Name
*
First Name
Last Name
Relationship
Emergency Contact Phone Number
Please enter a valid phone number.
Reference #1
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference #2
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Email
example@example.com
Preferred Session Dates: you can choose more than one
Preferred Session Dates: you can choose more than one
Week 1: July 1 July 6, 2024
Week 2 : July 8- July 12, 2024
Week 3: July 15- July 19, 2024
Week 4 July 22-July 26, 2024
Week 5 July 29-Aug 2, 2024
T-shirt Size:
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Agreement and Signature
By signing below, I confirm that the information provided is accurate and complete. Iunderstand the responsibilities of a Global Youth Ambassador and commit to fulfilling these tothe best of my ability.
*
Submit
Submit
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