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SHAPE 2022 Application
After submitting the application a Team Lead will call you to tell you whether or not you may be interviewed.
If you have any questions or concerns please contact the following:
Katia Harms
E-mail:
katiah@teenempower.org
Phone: (405)626-4510
Zoe White
E-mail:
zoew@teenempower.org
Phone: (405)973-4187
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* Indicates required question
Email
*
Your email
Name
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First and last name
Your answer
Pronoun(s)
Your answer
Date of birth
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
What high school will you attend during the 2022-2023 school year?
*
Your answer
Current GPA
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Your answer
Grade level for the *next* school year?
*
9th
10th
11th
12th
Parent/ Guardian contact information
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Please list their first and last name, relationship, phone number and their email address.
Your answer
Please list any extracurricular activities you're involved in. (Within or outside of school)
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Your answer
Please provide any volunteer experiences that may relate to this program
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Your answer
Why would you be an asset to this peer education program?
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Your answer
Why is sexual health education important?
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Your answer
Are you bilingual? If yes, please list languages spoken below.
Your answer
If chosen for the program, will you have transportation to various schools in OKC and Del City on days you are scheduled to teach?
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Yes
No
On a scale from 1-10 (1 being the least and 10 the most) how would you rate your desire to be a member of SHAPE?
*
Your answer
If someone recommended you to apply, please name them below.
Your answer
If you would like to include additional information, please do so here:
Your answer
Type your name below if you agree to the following statement, if selected as a member following an interview, I understand that parental permission is required for my involvement. I will attend a multi-day training retreat (day & night) in June (free). I understand I MUST attend a 4-day (free) training camp in October. I acknowledge that I will be taken out of school on days I am scheduled to teach (up to 5 days). I agree to strive to teach without judgment. I will do my very best to fulfill my commitments to the program.
*
Your answer
Send me a copy of my responses.
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