Youth Intern Survey
Name
*
First Name
Last Name
Preferred Pronouns
She/her
He/him
They/them
Ze/zir
Other
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
13
14
15
16
17+
Grade
*
8th
9th
10th-12th
Post High School
Not Attending School
School
Parent or Guardian's Name
*
First Name
Last Name
Parent or Guardian's Email
*
example@example.com
Parent or Guardian's Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian's Relationship to Applicant
*
When are you available? Check all that apply.
*
Tuesday Afternoon
Wednesday Afternoon
Thursday Afternoon
Friday Afternoon
Saturday Morning
Saturday Afternoon
Sunday Morning (Birthday Parties or Special Events)
Sunday Afternoon (Birthday Parties or Special Events)
Other
Why do you wish to be a Youth Intern at Tynkertopia?
*
How can you help Tynkertopia?
*
How can Tynkertopia help you develop as a person?
*
Submit
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