2022-2023 DateKnights Application

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Please read all information carefully and answer all questions completely. Requirements for being a DateKnight:

-MUST be invested in reducing the prevalence of teen dating violence and promoting positive and healthy friendships and relationships.
-MUST be invested in practicing good self-care and demonstrating efforts for taking care of one's own mental and physical health (including making positive and healthy decisions such as not using nicotine, alcohol, and/or other drugs, eating healthily, using appropriate coping skills, etc.).
-MUST possess good leadership abilities and good judgment.
-MUST show initiative.
-MUST be dependable and trustworthy.
-MUST attend all DateKnights trainings and meetings.
-MUST be willing to be an active member of Youth to Youth and attend the Youth to Youth Winter Retreat and present a workshop as a DateKnight.

Name *

Graduation Year *

Age *

Address *

Phone Number *

E-Mail Address *

What is the best way to contact you? (Select one) *

Call

E-Mail

Text

Please list any extracurricular activities in which you are involved: *

Please list any previous leadership experience: *

What are the reasons you would like to be a DateKnight? *

I have read the paragraph at the beginning of this google form and I am confident I will be able to meet these commitments for the 2022-2023 school year. *

Yes

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