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- What connection do you have to Baltimore’s 21217 community?*
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- Have you participated in any leadership role, community activity, club, sport, job, volunteer opportunity, or other organized activity?*
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- Areas of interest*
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- What time does your school day usually end?*
- Do you currently participate in any other after-school activities, sports, jobs, programs, or family responsibilities? If yes, please add them to the after school schedule below.*
- Typical after-school schedule, Monday–Friday*
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Format: (000) 000-0000.
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- Does this parent/guardian support the youth’s participation in NbYO?*
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- Should be Empty: