Kleberg-Kenedy County Junior Health Ambassador Application

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Email *

What is your full name? *

What grade are you in? *

6th

7th

8th

What school do you attend? *

What is your parent/guardian's name? *

What is your parent/guardian's phone number? *

What is your parent/guardian's email address? *

Why do you want to become a Kleberg-Kenedy Junior Youth Ambassador? *

What type of topics are you interested in learning and teaching your peers about? *

Check all that apply.

Healthy cooking/recipes - myPlate, meal planning, recipe demonstrations

Physical activities - exercises for youth, Walk Across Texas

Food/kitchen safety - handwashing, safe cooking,

Outdoor activities - gardening, etc.

Youth health topics - vaping, alcohol use, texting and driving, safe social media use, etc.

Other:

Required

What presentation (technology) methods do you have experience in? *

Face to face presenting

Video creating/editing

Zoom/Google Meet presenting (or a similar platform)

Social

Other:

Required

If you are selected as a Kleberg-Kenedy Junior Health Ambassador, are you able to commit to leading/completing at least one health activity (approximately four hours of work) each month? *

Yes

Submit

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