CAC 2020-2021 Teen Board Application

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Attention Artists, Creators, and Innovators! The CAC Teen Board is now accepting applications!

Please fix out ll question in this form, or if you would rather be interviewed over Zoom or a phone cll, instead of writing this out, then please fill this form instead:

https://forms.gle/8Bta7ZxYGQ2YiqiC6

Name: *

Age: *

Personal Email *

School Email *

Grade:

High School: *

Home Phone:

Cell Phone: *

Best way to contact you

Phone call

Text

Clear selection

Primary Guardian: *

Primary Guardian's Phone: *

Primary Guardian's Email: *

Primary Guardian's Address: *

How did you learn about the Teen Board? *

The CAC Teen Leadership Council meets two Saturdays of each month, for two hours at a time. If chosen, would you be able to make this time commitment ? *

Yes

Are you able to attend our first meeting on September 26th at 12pm? *

Yes

Other:

Do you possess or have access to reliable transportation to and from the CAC for scheduled meetings/events? *

Yes

Is transportation a problem for you? The CAC may be able not help! If yes, can our Programs Manager, Kaisas Peguero, contact you to discuss how CAC can help? *

Yes, by phone call

Yes, by text

Yes, by email

No, thank you. I will take public transportation.

No thank you, I have my own car or will be dropped off and picked up.

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