One Root Youth Council Application
Share your details and tell us why you want to join, including your interests, experiences, and availability.
Student Name
*
First Name
Last Name
Preferred Name
Date of Birth
*
-
Month
-
Day
Year
Date
Grade (for the upcoming school year)
*
Please Select
6
7
8
9
10
11
12
School
*
Parent/Guardian Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Email
example@example.com
Why are you interested in joining Youth Council?
*
What strengths or talents would you bring to the group?
*
What is one issue affecting young people that you care about?
*
Tell us about a time you helped someone.
*
What hobbies or interests do you enjoy?
*
Are you able to commit to attending Youth Council meetings throughout the school year?Middle School Council (Grades 6–8): Fridays, 4:00–4:45 PM. High School Council (Grades 9–12): Fridays, 5:15–6:00 PM
*
Yes
No
Not sure
Photo Release: I give permission for photos or videos of the student to be used for One Root promotional purposes.
*
Yes, I give permission
No, I do not give permission
Submit Application
Should be Empty: