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A Healthy Lynnfield - Youth Council
Youth Council Leaders will utilize youth's energy, passion and ideas as a powerful prevention resource for the community. This is 2022-2023 application.
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Email
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Your email
Full Name:
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Your answer
Grade Level:
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Choose
Freshman
Sophomore
Junior
Senior
Birth Date:
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Your Preferred Email Address:
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Cellphone Number for
remind.com
account
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Application Questions:
What does being a leader mean to you? What skills do you have that make you a leader or a potential leader?
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Your answer
How have you been affected by substance use and/or why are you interested in substance use prevention?
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Your answer
What community service experience do you have and how has it influenced your life?
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Your answer
What do you do in your free time / enjoy to do? (When your not busy with school, chores or working)
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Your answer
What kind of person do you want to be when you grow up?
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Your answer
Please provide 2 adults (name and email address or phone number) who can provide a reference for you, can be a boss, coach, teacher, school administrator, guidance counselor, etc (please not a parent or guardian)
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Parent Guardian Information:
Parent(s)/ Guardian(s) Name:
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Your answer
Parent(s) / Guardian(s) Email:
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Your answer
Parent(s) / Guardian(s) Phone Number:
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Your answer
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