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FEI Teen Advisory Board Application
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* Indicates required question
Name (first and last)
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Today's Date
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MM
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DD
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YYYY
School name
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Current Grade
9th
10th
11th
12th
Other:
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Address (If you have multiple please list both)
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City/town
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State
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ZIP
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Email
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Phone number
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Parent/guardian email
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What school/community activities do you participate in?
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Please share any information about your personal interests and experiences that have prepared you for this group.
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What skills and strengths will you bring to the Teen Advisory Group?
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What do you wish to get out of this experience?
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Do you personally or anyone in your family have any diet-treated illnesses such as food allergies, celiac disease, diabetes, EoE, or Crohn's Disease?
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