Youth Advisory Board Application

The Youth Advisory Board is open to Long Islanders age 15-25. (If you will be 15 within the current calendar year, you ARE eligible to apply.) A completed application does not guarantee acceptance. Applicants will be selected by CAC staff based on a variety of considerations. Thank you for your interest.

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* 1. Your Name

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* 2. Your Contact Information

Address

City

State

ZIP

Email Address

Phone Number

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* 3. Age

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* 4. Gender

Female

Male

Transgender Female

Transgender Male

Gender Variant/Non Conforming

Prefer not to answer

Prefer to self-describe...

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* 5. How did you hear about the Cinema Arts Centre's Youth Advisory Board

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* 6. How often do you attend Programs at the Cinema Arts Centre?

Weekly

Monthly

A Few Times a Year

Once a Year

Less Than Once a Year

I have never attended a program at the Cinema Arts Centre.

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* 7. The Youth Advisory Board will meet monthly at the Cinema Arts Centre. Can you commit to monthly meetings?

Yes

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* 8. The Youth Advisory Board will work 5 - 10 hours per month via online tools between monthly meetings. Can you commit to working 5 - 10 hours a month with remote tools like Google Docs and email?

Yes

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* 9. Why do you love movies?

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* 10. The mission of the Cinema Arts Centre is to bring the best in cinematic artistry to Long Island, and use the power of film to expand the awareness and consciousness of our community. The Youth Advisory Board will help to ensure that we deliver our mission in a way that engages younger audiences, and meets the needs of young people in our community. Describe one way in which independent film programming can help fulfill an unmet need of Long Islanders age 15 - 25.

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* 11. If you are under 18, please provide the name, phone number, and email address of a parent or guardian so that we may be in touch with a permission form. If you are 18-25, please type "n/a."