Fall Youth Organizer Summit TRAINER Application 2019
This is a 3 page TRAINER application for the Youth Organizer Summit with Alaska Youth for Environmental Action.

The Trainer Orientation will be held in Anchorage the before the Summit, so please plan for September 11th-16th. If you fly into Anchorage from a rural area, you may need to plan for an additional day of travel on either end of the Summit. For those that require an additional day for travel, we will provide transportation and housing for all students upon arrival in Anchorage.

Deadline to apply: June 6th. Early applications are appreciated!

Contact Margi if you have any problems or questions, 907-347-6201, ayea@akcenter.org.
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Email *
Legal First and Last Name *
Name you prefer to be called
if different than your legal name
Mailing Address *
City/ Village *
Zip Code *
Date of Birth *
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DD
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YYYY
Grade in School *
Home Phone/ Work Phone *
907-XXX-XXXX
Cell Phone *
if you don't have a cell phone, write None
Email Address *
Gender *
Preferred gender pronouns (ex: she/her, he/him, they/them)
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Race/ Ethnicity
optional
Parents'/ Guardians' Names *
If you are applying to be an ADULT trainer, you can write N/A
Parents'/ Guardians' phone numbers *
ADULT trainers write N/A
Parents'/ Guardians' email address *
ADULT trainers write N/A
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