Teen Advisory Board Online Application

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Alternate Phone

Email*

School (Home Schooled Teens Welcome)

Grade

Age*

Why do you want to be a member of the Virtual Teen Advisory Board?*

Do you have any ideas that you would like to see the Virtual Teen Advisory Board Develop? If so, give an example here:*

The Teen Advisory Board will meet virtually once a month. Can you commit to this?*

What are some of your hobbies and interests?

What days/times are the easiest for you to attend meetings?*

Afternoons- Between 3-5pm Evenings -Between 6-8pm

Are you required to fulfill a specific number of volunteer hours?

If yes, how many hours? To be completed by what date? Required by?

Have you read any good books / listened to any good music / watched any good movies lately? If so, give us some examples.*

In what areas do you have the most interest?*