Skip to content
Peoria Park District Teen Ambassador Application
*
1.
Full Name
(Required.)
*
2.
Preferred Name
(Required.)
*
3.
Date of Birth
(Required.)
*
4.
Age
(Required.)
*
5.
School Name & Current Grade Level ( Fall 2025)
(Required.)
*
6.
GPA
(Required.)
*
7.
Home Address
(Required.)
*
8.
Phone Number
(Required.)
*
9.
Email Address
(Required.)
*
10.
Parent/Guardian Name
(Required.)
*
11.
Parent/ Guardian Phone
(Required.)
Tell Us About You!
*
12.
Why are you interested in joining the Teen Ambassador Program?
(Required.)
*
13.
What are some of your strengths or special skills?
(Required.)
*
14.
How have you been involved in community service, clubs, or youth programs before? If yes, explain.
(Required.)
*
15.
What do you hope to learn from this program?
(Required.)
16.
Are you available for occasional weekend or evening events?
Yes
No
Creative Challenge
*
17.
If you could plan your own event in the park for other teens, what would it be and why? (Be creative)
(Required.)