Civics & Conservation Summit Application 2020
Please visit www.akcenter.org/ayea/ to learn more about the program before applying.
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This is a 3 page application for the Civics & Conservation Summit with Alaska Youth for Environmental Action. This first page is short answers, the second page is paragraph answers, the last page is check-boxes. Deadline to apply: SUNDAY, JANUARY 18th. Early applications are appreciated.

The Summit will be Tues -Fri, March 24-27th (Monday March 23rd and Saturday, March 28th will be travel days).

If you attended a previous Civics & Conservation Summit please apply to be TRAINER, that application is here: https://forms.gle/NjktvaadwVeUAs2Z9

Contact Margi if you have any problems or questions, 907-347-6201, ayea@akcenter.org.

Thanks for your interest!
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Email *
Legal First and Last Name *
Name you preferred to be called
if different than your legal name
Mailing Address *
City/ Village *
Zip Code *
Date of Birth *
MM
/
DD
/
YYYY
Grade in School *
Home Phone *
907-XXX-XXXX
Cell Phone *
if you don't have a cell phone, write None
Best phone to reach you: *
We will call you to talk about your application and acceptance
Gender *
Race/ Ethnicity
optional
Race/ Ethnicity
optional
Parents'/ Guardians' Names *
If you are an emancipated minor, or your legal guardian is unavailable, put "n/a" in these section.
Parents'/ Guardians' phone numbers *
Parents'/ Guardians' email address *
Best way to reach your Parents'/Guardians:
We need to talk to your guardians in order for you to attend the Summit
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