YOUthServe Leader Application Survey

Thank you for your interest in HandsOn Northeast Georgia's YOUthServe Leadership Project! Please complete the following application. A representative from HandsOn Northeast Georgia will contact you about your application status. If you have any questions about this application or the HandsOn YOUthServe Program, please contact 706-353-1313 or serve@communityconnection211.org.

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1. Please provide your contact information.

Please provide your contact information. Name:
School:
Grade:
Street Address:
City/Town:
State:
ZIP:
Birthday
Email Address:
Phone Number:

2. Please provide a guardian or parent contact.

Please provide a guardian or parent contact. Name:
Phone Number:

3. May we contact you via text message?

May we contact you via text message? Yes

No

4. How did you find out about the YOUthServe Leadership Project?

How did you find out about the YOUthServe Leadership Project? A friend told me about it.

I heard about it at school.

An adult or relative told me about it.

I heard about it at a place of worship.

I saw a flier or business card.

I saw a posting on the HandsOn website or newsletter.

Other (please specify)

5. Why do you want to be a YOUthServe Leader? (3 or 4 sentences)

Why do you want to be a YOUthServe Leader? (3 or 4 sentences)

6. Have you ever volunteered before? (No volunteer experience is necessary to participate in this program)

Have you ever volunteered before? (No volunteer experience is necessary to participate in this program) Yes

No

7. If yes, please tell us about your volunteer experience. (3 or 4 sentences)

If yes, please tell us about your volunteer experience. (3 or 4 sentences)

8. Please review the YLP schedule. Will you be available to attend the scheduled meetings and service projects?

Please review the YLP schedule. Will you be available to attend the scheduled meetings and service projects? Yes, I plan to attend all of the YLP meetings and service projects. They're already marked on my calendar!

Yes, I think I can attend most of the meetings and service projects.

I'm not sure if I can attend all of the scheduled dates, but I really want to be involved!

No, I'll only be available to participate in a few of the YLP activities.

YOUthServe Leader ApplicationExit this survey

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*1. Please provide your contact information.