2025 tSB Core Program Prophet Application

2025 Core Program

Each year, the Service Board brings together a group of high school students and adult mentors from a diverse range of academic, racial, cultural and economic backgrounds to engage in our Core Program. Program participants meet twice weekly from beginning of winter through spring. Weekday workshops focus on engaging discussions encompassing a broad range of social justice topics. Weekend activities during Core Program rotate between intensive service learning projects and snowboarding, hence our name: the Service Board. After much consideration and a lot of community conversations, we have decided to make some changes to Core Program. This year's Core Program will be 4 months long, beginning in late January and ending mid-May. We believe this change will provide more flexibility for all of our participants and allow youth to participate in other extracurricular activities.

Core Program Schedule and Key Dates
- January: Orientation & Gear Day
- January: Opening Overnight Retreat @ Soundview
- May: Overnight Spring Retreat @ Mt. Hood
- May: Core Program Graduation
January-March
- Wednesdays 5:30-8:00 pm: Social Justice Workshops @ tSB Community Room ( 843 Hiawatha PL S., Seattle, WA 98115)
- Saturdays 7/8am - 2:00pm: Snowboarding @ Summit Snoqualmie, Crystal Mountain, & Stevens Pass
April-May
- Wednesdays 5:30-8:00 pm: Social Justice Workshops @ tSB Community Room ( 843 Hiawatha PL S., Seattle, WA 98115)
- Saturdays 10 am-2 pm: Service Project @ Varies
2025 tSB Core Program Application (Prophet)

If you would like to save this application to return to later, you can do so via the link at the bottom of this page!
This application needs to be finished and submitted no later than Friday, December 6th, 2024!

Notifications of acceptance to the program will be sent on December 20th, 2024

TO COMPLETE THIS APPLICATION YOU WILL NEED:
- About 15 to 30 minutes to complete this application
- Your contact information and household income information
- The names and contact information of 3 references (can be friends, teachers, family, employers, etc.)
IMPORTANT: PLEASE TELL YOUR PARENTS/GUARDIANS BEFORE APPLYING TO THIS PROGRAM

It's a large time commitment and it works out a lot better if your parents, guardians, and/or families are aware of your desire to participate in Core Program.
Questions? Contact Us!

If you have any questions in regards to filling out this application please feel free to email Program Operations Manager, Melissa Kozial (melissa@theserviceboard.org)
Basic Information

Please fill this out as thoroughly as possible!
Name:*

First NameLast Name
I go by (preferred name):*

First NameLast NameOther
What pronouns can we use for you?:*

They/ThemShe/HerHe/HimStill figuring it out!Other
Gender Identity*
Email:*
Cell Phone:*
Date of Birth:*

MonthDayYear
Date
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Address (if applicable):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What neighborhood do you reside in?: *
Ex: Beacon Hill, Central District, Rainier Beach, Hillman City, Capitol Hill etc...
Home Phone #:
Optional*
Best time to call and preferred means of communication?:*
Call, text, email...etc.
High School:*
Grade:*

9101112Other
Racial Identity: We acknowledge that while race is a social construct, racism is real and continues to disproportionately impact communities of color. We ask registrants to self-identify their racial identity so that we can evaluate our racial equity efforts. Which of the following racial identities do you most identify with? Please check all that apply:*

Black (African American)Black (African)Black (Afro-Caribbean)Indigenous (North America)Indigenous (Central & South America)Alaskan NativeFirst NationsPacific IslanderNative HawaiianAsian (South)Asian (East)Asian (Southeast)Asian (Asian American)Middle EasternLatine and/or LatinxHispanicWhite (European American)Multiracial/BiracialOther
Please describe your ethnic background: *
Ex: Ethiopian, Cuban, Mexican, Vietnamese, etc.
Optional- Do you personally identify as or with any of these things? We ask you for demographic data specifically for grant and funding reporting purposes. This information will remain anonymous when counted and never be shared by any means outside of tSB. (Please select all that apply):

A RefugeeAn ImmigrantHouseless (current, or previous)Previously IncarceratedA VeteranA person with a DisabilityPart of the LGBTQIA+ communitySomeone in Foster Care (current, or previous)
Is any of your immediate family currently serving in the military or a veteran?:*

YesNo
Household Information

Please answer to the best of your ability!
Is English the primary language spoken in your home?:*

YesNo
Language(s) spoken at home:*
Primary Guardian Name:*
Primary Guardian Phone:*
Primary Guardian Email:*
Primary Guardian relationship to you:*
Ex: Mom/Dad, Aunt, Grandparent etc.
Do you live in a single-parent household?:*

YesNo
Household Income (Annual):*
This is strictly for grant purposes- if you as a young person don't know the answer please ask your parent or guardian for this information.
Total number of people in your household:*
Total number of people under 18 in household:*
Is your household enrolled in a Washington State Basic Food Assistance Program such as SNAP?:*

YesNoI'm not sure
Do you have reliable access to technology? (Such as - internet connection, computer, laptop, smartphone, or tablet):*

YesNo
Do you have any scheduling conflicts with Wednesday evening (5:30-8 pm) and Saturday day programming events from January to May 2023?:*
Saturdays (Jan-April) are snowboarding ~7am-3pm // Service Projects (April-May) are usually from 10 am- 2 pm
Essay Questions

This is your chance to tell us about yourself. Three word answers are fine, but may not give us the best of idea about who you are.
How did you hear about the Service Board (tSB)?:*
We'd love to know names, if you can remember them!
Have you ever been snowboarding before? YES or NO -- If YES, how many times? Did you enjoy it?:*
What are your plans after high school? What are your dreams?: *
What do you hope to gain from being part of our program?:*
What are two skills or talents you can bring to the Service Board?:*
Who do you look up to and why?:*
These next questions check what fits best for you.

*Keep it real, your answers here won't affect whether or not you get in.* This helps us assess how you might benefit from being a part of tSB programming.
Education

Please select a number between 1 - 5. 1= strongly disagree 2 = mostly disagree 3 = neutral 4 = mostly agree 5 = strongly agree
I am excited to go to school:*
My classes are engaging:*
I am motivated to pursue continuing education after high school:*
Employment

Please select a number between 1 - 5. 1= strongly disagree 2 = mostly disagree 3 = neutral 4 = mostly agree 5 = strongly agree
I feel confident about getting my first job:*
I have access to opportunities for developing career skills:*
Community

Please select a number between 1 - 5. 1= strongly disagree 2 = mostly disagree 3 = neutral 4 = mostly agree 5 = strongly agree
I have at least one adult who I feel comfortable talking to about challenges in my life:*
I identify with a community group outside of school:*
I frequently engage in after school activities and programs:*
Adventure

Please select a number between 1 - 5. 1= strongly disagree 2 = mostly disagree 3 = neutral 4 = mostly agree 5 = strongly agree
I engage in activities that challenge my comfort zone:*
I am comfortable in the outdoors:*
I have been on multiple camping trips with my family or friends:*
Please provide three references. Your references may be friends, neighbors, teachers, employers or family members.

For each reference be sure to list their full name, relationship to you and e-mail and/or phone number.
First Reference*
Second Reference*
Third Reference*
One More Thing! Core Program has a pay what you can cost associated with it. If you are accepted into the program, we will send you a payment form to go over with your family. There are multiple ways to pay including monthly installments and payment options are on a sliding scale. No one will be turned away because of inability to pay.
Signature of applicant:

Clear
Should be Empty:

2025 tSB Core Program Application (Prophet)

Questions? Contact Us!

Basic Information

Household Information

Essay Questions

These next questions check what fits best for you.

Education

Employment

Community

Adventure

Please provide three references. Your references may be friends, neighbors, teachers, employers or family members.