Youth Board Member Application

Please complete all requested information. Thank you for your interest!

Personal Information
Name: *
Address: *
Cell Phone: *
Email: *
School: *
Year in School: *
Parent/Guardian: *
Parent/Guardian Phone: *
Current Activities & Positions Held
Activity & Position:
Activity & Position:
Activity & Position:
Community Involvement
Activity & Position:
Activity & Position:
Activity & Position:
Please explain why you would like to be involved in the Capital Area United Way and how you plan to use your skills to help children & youth in our community.
: *
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