iThrive Youth Ambassador Application

iThrive Youth Ambassador Application
Applicant Information
Member Full Name*

First NameLast Name
E-mail*
example@example.com
Member Birthdate*

YearMonthDay
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
School Name*
Current Grade*
Current GPA*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Contact Information*
Please enter a valid phone number.
About You
Please tell us why you are interested in becoming an iThrive Youth Ambassador. (250 words)*
Are you bilingual? If so, please list the languages (other than English) that you are able to read/write.*
Are you comfortable speaking in front of groups? What is your experience presenting in front of groups? *
Do you have any previous volunteer or leadership experience? If yes, please describe.*
Are you involved in any clubs or sports, or currently working at a job? If so, please list them.*
Each student applying for the Youth Ambassador Program will need a recommendation from ONE current teacher and ONE ADULT OF CHOICE (other than guardian). Please provide informatation for those willing to give recommendations. The recommendation form will be emailed to them directly.
CURRENT TEACHER- EMAIL ADDRESS:*
ADULT OF CHOICE- EMAIL ADDRESS:*
Parent/Guardian Signature

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