Youth Advisory Board Application Form

Youth Advisory Board Application Form

Enter your admission information below
Name*

First NameMiddle InitialLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemaleDecline to Answer
Race:*

American Indian/Alaskan NativeAsianBlackNative Hawaiian/Other Pacific IslanderWhiteDecline to AnswerOther
Of which country are you a citizen?*
Phone*

Area CodePhone Number
E-mail Address*
Have you participated on a Gift of Reading team for one year or more?*

YesNo
If you answered Yes to the previous question, which school did you participate at?*
What year did you participate in Gift of Reading?*
Tell us about yourself *

Must be under 800 words0/800
Why would you like to join the Youth Advisory Board?*

Must be under 800 words0/800
What would you change about this world and why*
No word limit
Should be Empty: