Gems of Hope Youth Advisory Board (YAB) Application
2020-2021 Academic Year
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First Name *
Last Name *
Nickname
Address *
City, State, Zip *
Phone *
Current Grade *
E-Mail *
Reference *
Please provide at least one reference.  Your reference must be either a former member of the Youth Advisory Board, teacher, employer, coach, or other adult who knows you well but is not part of your immediate family.  
Reference's Phone Number
Reference's Email *
Are you available to attend meetings on the first or second Sunday of the month at 5 pm? *
How are you available to meet? *
Do you live in The Corridor community? *
Are you committed, dedicated, and interested in supporting cancer patients and their families? *
How did you find out about the YAB? *
What skills, abilities, or interests would you bring to YAB? *
What do you hope to learn from your board experience? *
Answer one of the following: Tell us about a challenge you have faced in your life and how you were able to overcome it -or- Tell us about an accomplishment that brings you personal pride and why - or- how has cancer impacted you and/or your family? *
Personal Statement: This is your opportunity to tell YAB who you are as a person.  Tell us what makes you unique, through a medium of your choice: short essay, video, poem, comic, collage, drawing, etc.  Be Creative!  I will submit a... *
Short Essay, Poem, or 'other' submission
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