Student Advocates for Speech Club Leader Application Form

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We're looking for students activists to create a Student Advocates for Speech club at your high school.

Learn more about Student Advocates at NCAC.org/SAS

To be considered, please complete the application below!

The application deadline for the 2023-2024 school year is May 5, 2023.

If you have questions, please contact NCAC's Youth Free Expression Program Coordinator, Gianmarco Antosca at Gianmarco@ncac.org

Email *

First Name *

Last Name *

Your Pronouns

She/Her/Hers

He/Him/His

They/Them/Theirs

Prefer not to answer

Other:

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Mobile Phone Number

School name *

School address (street, city, state, zip code) *

Club leader's age *

14 years old

15 years old

16 years old

17 years old

18 years old

Required

Club leader's grade for the 2023-2024 School Year *

Freshman/9th Grade

Sophomore/10th Grade

Junior/11th Grade

Senior/12th Grade

Tell us in one or two paragraphs why you would like to start a Student Advocates for Speech club at your school. *

Please describe in one or two paragraphs how you would reach a wide range of students from diverse backgrounds, including students with whom you might disagree, to join your club. *

I understand that, if selected as a finalist, I will need to provide both a signed permission form from a parent/guardian and a statement of commitment from a faculty advisor. *

I understand

Required

Where did you hear about the SAS program?

Would you like to subscribe to NCAC's mailing list for regular updates? (Not required!)

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