Teen Leadership Application

Leadership Club Application

Items marked in red are required.

Branch*

Contact Information

Name*

Age*

Phone Number*

Availability

During which days are you available for Club meetings? (Check all that apply.)*

Mondays

Tuesdays

Wednesdays

Thusdays

Fridays

Saturdays

What times during the week are you NOT available?*

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.*

Previous Volunteer Experience

Summarize your previous volunteer experience*

Other Information

How did you hear about us?

Give an example of a time you worked on a team to accomplish a goal by overcoming obstacles and challenges.

Describe your experience, if any, making videos.

Reference

Name*

Phone Number*

Person to Notify in Case of Emergency

Name*

Street Address*

City*

State*

Zip Code*

Home Phone*

Work Phone*

Email*

Agreement and Signature

By submitting this application, I affirm that the fact set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I agree to the above statement