Application : LEAD- youth Application

First Name : *
Middle Name : *
Last Name : *
Parent or Guardian Name : *
Home Address : *
Who are you currently living with? *





Date of Birth : *
Age: *
Grade Level : *
E-mail : *
Mobile Phone : *

Extension
Parent/Guardian Email : *
Parent/Guardian Phone Number : *
Ethnicity : *
Gender : *

Sexual Orientation : *





What team are you interested in joining? *




Have you worked with a club or a church, and if so, what is the church or organizations name, and in what capacity did you serve? *
I expect good things to happen to me : *



I feel excited about my future : *



I have goals in my life : *



I make step by step plans to reach my goal : *



I trust my future will turn out well : *



If I set goals, I take action to reach those goals : *



What is a fun fact that you would want us to know about you? *
What is one thing you are struggling with? *
We ask that volunteers are committed to taking 1 or more shifts weekly. What days are you available?




What shift can you work?



Do you give permission for Trail Youth to conduct a background check?
Social Security Number :
Who can see this?

You can submit the Application even if you are not logged into the system. But you won't be able to follow your activities when you're not logged in. Otherwise, press Login icon.

You can also apply if you are unregistered user. You can check Create New Account checkbox and submit all necessary info to register new account.

Press Preview icon to review the fiiled in information before submittion. You can edit or send the application at the prveiew mode.
Press Save icon to save your application and proceed later.


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