JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Copy of Amplified Teen Voices
2020 - 2021 ATV Application
This application due by October 21.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name
*
First & Last Names Please
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone (if any)
Your answer
Mobile Phone (if any)
Your answer
Email Address
*
Please provide an active email address that you check regularly. Most of our communication is electronic
Your answer
Facebook Profile
Your answer
Date of Birth
*
Your answer
Gender Pronoun
Your answer
Your School
*
Your answer
Current Grade
*
Your answer
What is the best way to get in touch with you?
*
Email
Home Phone
Mobile phone (call)
Mobile phone (text)
Facebook message
Required
Which GR!R program(s) have you participated in
*
For example: Summer Camp (camper or Intern)
Your answer
Why do you want to be part of Amplified Teen Voices?
*
Your answer
What role does music play in your life?
*
Your answer
Would you describe yourself as a feminist? Why or why not?
*
Your answer
What would you bring to Amplified Teen Voices?
*
What talents do you have that would be useful on the committee?
Your answer
Do you participate in other groups or activities? If yes, please describe them here *
Participation in other activities is not a requirement for Amplified Teen Voices membership. Please answer "none" if this does not apply to you
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Girls Rock! Rochester.
Report Abuse
Forms
