Holocaust Center for Humanity Student Leadership Board Application for New Students: 2021-2022

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Student Leadership Board details: https://www.holocaustcenterseattle.org/learn/student-leadership-board

Deadline to submit is September 17. Please keep in mind that returning students in good standing have priority and we have limited slots for new members this year.

SLB meetings will be twice a month on Zoom: Wednesdays 4:00pm-4:45pm, starting October 6, 2021.
We are planning for an in-person meeting at the Holocaust Center on October 17!

Email *

Student's Last Name: *

Student's First Name *

Home Address (include city, state, and zip code): *

Phone Number: *

Is this your... *

Home phone

Personal cell phone

Parents' cell phone

Other:

Age: *

What grade are you in/will you be in when you start school in Fall 2021? *

School: *

School Address (include city, state, zip): *

Parent/Guardian Name(s): *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Why are you interested in being part of the Holocaust Center for Humanity’s Student Leadership Board? *

What extracurricular activities are you involved in? *

What skills, knowledge, perspective, or interests would you bring to the Student Leadership Board? *

Is there anything else you would like us to know?

Reference: List the name of one person (not a family member) that can support your qualifications for the Student Leadership Board. Please list someone who is willing to be contacted by the Holocaust Center. *

Reference: Email address of the person you listed above. *

Send me a copy of my responses.

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