Teen Board Application – Friendship Circle FL

Name *

First

Last

Birthdate *

Email *

Phone *

School *

Grade *

One Reference (phone/email) that has seen you take a leadership role or active role in a group setting. *

Please share any ways you have shown leadership in the past. *

Please share one new idea or activity you would like to see happen next year. *

Please upload your current photo. *

Drag & Drop Files, Choose Files to Upload

If I am chosen for the teen board, I commit to attending one FC program every month. *

If I am chosen for the teen board, I commit to attending one FC program every month.

If I am chosen for the teen board, I commit to attending 5/6 board meetings for the year. *

If I am chosen for the teen board, I commit to attending 5/6 board meetings for the year.

Signature *

Clear Signature

Date Signed *