Teen Advisory Board
ON-LINE APPLICATION
Name:             FIRST
LAST
Street Address
City
State
Zip Code
Best phone number to reach you
Email Address Enter NONE if you don't have one.
School Attending
Grade Level (2013-2014)
 
Age    

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.