Student Leadership Board Application 2026-2027 (Spokane)

Student Leadership Board Application 2026-2027 (Spokane)
Not sure what this form is for? Check out more details about the Student Leadership Board here!
Note: This form is specifically for students in the Spokane area. If you are in Seattle, please refer to this SLB application: Seattle Application

The deadline to submit, for both new and returning students, is Monday, September 14, 2026. Returning students in good standing will be prioritized and additional spots will be offered to new members. Spots are limited so please apply early, if possible.

ALL Spokane SLB meetings will be led by Justin Farley and held IN PERSON at Peperzak Middle School from 3:45-5:00pm. These meetings will be twice a month (exact dates TBD - typically Wednesdays or Thursdays) from September to the end of May. By submitting this application, you are confirming that you will be able to attend these meetings on a regular basis. Failure to consistently attend will result in dismissal from SLB.
Applicant email*
Applicant name*

First NameLast Name
Are you a new or returning SLB member?*

NewReturning
What age will you be when you start school in the fall 2026?*
What grade will you be when you start school in the fall 2026?*
School name*
How did you learn about the SLB? (Check all that apply.)*

Teacher, coach, mentorFamily member or friendHolocaust Center website or social mediaHolocaust Center presentation at my schoolOther
If you are a new student, why are you interested in being part of the Holocaust Center for Humanity’s Student Leadership Board? If you are a returning student, tell us about something you learned on the SLB last year, or tell us why being the on SLB is important to you.*
What extracurricular activities are you involved in?*
What skills, knowledge, perspective, or interests would you bring to the Student Leadership Board?*
Reference: List the name of one person (not a family member) that can support your qualifications for the Student Leadership Board. Please list someone who is willing to be contacted by the Holocaust Center. (Optional for returning members, required for new members)
Reference: Email address of the person you listed above.
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Is this your*

Cell phoneParent's phoneHome phone
Home address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/guardian name*
Parent/guardian phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Please let us know your dietary preferences and allergies:*
Pronouns if you'd like to include them (select all that apply)

She/herHe/himThey/themOther
If you selected other and would like to include pronouns not listed above, you can include them here:
Optional: are you currently living with a disability (physical, intellectual, psychiatric, visual, hearing, neurological, or other medical condition)? We are asking in order to foster an inclusive community, hold ourselves accountable, and provide accommodations as needed. Your personal information will be kept confidential.

YesNo
If you answered "Yes" to the question above and would like to add comments, or describe any accommodations that would enhance your experience on the SLB, please use the space below.
Anything else you would like us to know?
ALL SLB meetings will be led by Justin Farley and held IN PERSON at Peperzak Middle School for Spokane from 3:45-5:00pm. These meetings will be twice a month (exact dates TBD) from September to the end of May. By submitting this application, you are confirming that you will be able to attend these meetings on a regular basis. Failure to consistently attend will result in dismissal from SLB. By checking "I understand", you are confirming that you will be able to make these meetings on a regular basis. Failure to consistently attend will result in dismissal from SLB.*

I understand
Should be Empty: