25-26 Teens In Action™ Club Application

Teens In Action™ Club Application for the 2025-2026 School Year!
Thank you for your interest in joining the Teens In Action™ Club! This is an exclusive, hands-on civic engagement opportunity designed to help you build leadership skills, strengthen emotional intelligence, and ignite your passion for service. Through this unique club, you'll work alongside other motivated young leaders, growing together and making a meaningful impact in your community.

Before completing the application, please review the information below to ensure you can commit to the key events and activities planned for the upcoming year. Your involvement in Teens In Action™ will not only look impressive on college applications but, more importantly, will help you grow as a leader and as an individual.

What to Expect as a Teens In Action™ Club Member:

1) Orientation: Date TBD
- Meet your fellow club members and learn about the exciting year ahead.
2) Teens In Action™ Emotional Intelligence (EQ) Retreat: Location and date TBD
- Our first major event! Spend the day engaging in team-building activities while learning about emotional intelligence (EQ) and how it plays a vital role in leadership.
3) Teens In Action™ Twice Monthly EQ Workshops:

Workshop 1: Date TBD
Workshop 2: Date TBD
Workshop 3: Date TBD
Workshop 4: Date TBD
Workshop 5: Date TBD

4) Teens In Action™ Capstone Service Project Planning Committee Meetings: Dates TBD
- Collaborate with your peers to design and execute a significant service project that will impact your community.
5) Capstone Service Project: TBD after first workshop
- Put your leadership and EQ skills to the test as you bring your service project to life!
6) End-of-Year Celebration: Date TBD
- Celebrate the accomplishments of the club and reflect on the impact you've made throughout the year.
To submit an application, follow these steps:

Step 1: Enter your contact information, then continue the online application with the series of prompts and questions. Please take your time and think through these answers to best articulate your thoughts.

Step 2: You're done! Click "submit". You will receive an email confirmation upon submission.
Contact Information
First Name*
Last Name*
Date of Birth (mm/dd/yyyy)*

MonthDayYear
Date
High School*
Grade Level for the 2025-2026 School Year*
Home Address*
Home Address 2
City*
State/Province*
Zip/Postal Code*
Cell Phone*
Email*
example@example.com
Parent/Guardian Name(s)*
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone*
Demographic Data
Gender (Collected for grant reporting purposes- please answer)*
Race/Ethnicity (Collected for grant reporting purposes- please answer)*

African-AmericanArabicAsianCaucasianNative AmericanLatina/o/xPrefer not to sayOther
Questionnaire: Please answer each question below.
How have you exhibited leadership at school, work, or in an extracurricular activity and what were the results?*
What has been your greatest accomplishment as a student or an advocate for your community?*
What are you passionate about?*
What interests you about the Teens In Action™ Club?*
What after school activities and/or clubs do you plan on being involved in this year? (i.e. sports, band, etc.)*
Tell us what you know about Social and Emotional Learning and/or Emotional Intelligence. Why do you feel it's important to build these skills? *
The core values of the Teens In Action™ Club are Leadership, Kindness, Service, Communication, Inclusiveness, and Openness to Growth. Please describe how you think you exemplify one of these values in your daily life.*
Work/Service Experience
How many service hours do you currently have?*
If you have not had time to become actively involved in a service initiative, what conditions have changed that now enable you to seek involvement in the community?*
Commitment of Applicant
If selected, your success in this program depends upon your personal commitment to being an active, involved, participating member. Please read the following statement, think carefully about it and fill in your name to indicate your agreement: "If chosen for Teens In Action™ Club, I am committed to complete participation in all aspects of the program by my attendance, positive attitude, respect for others, and cooperation."
Signature of Applicant*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Teens In Action™ Club Application for the 2025-2026 School Year!

Contact Information

Demographic Data

Questionnaire: Please answer each question below.

Work/Service Experience

Commitment of Applicant