Teen Advisory Board
ON-LINE APPLICATION
Name
Street Address
City
State
Zip Code
Home Phone
Fax
 Enter NONE if you don't have one.
Email Address Enter NONE if you don't have one.
School Attending
Grade Level
Age
Principal's Name

List any extra-curricular activities or organizations in which you participate.

How did you hear about this community service opportunity?

Tell us why you feel you would be a good candidate for the teen advisory board.