The Heartland Community Foundation-Youth Action Council Member Application
Consent for storing submitted data
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Name (First, Last)
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Address
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County
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Email
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Phone
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Date of Birth
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School Name
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Parent 1 Name and Contact Number
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Parent 2 Name and Contact Number
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Graduation Year
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Why do you want to be on the Heartland Youth Action Coucil?
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Past Volunteer Experience, If Any
What are the top 3 issues affecting people your age locally?
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What Skills or characteristics would make you a good member of the Youth Action Council?
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What other activities are you involved in at school or in the community?
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If you had $5,000 to spend on something that would benefit your community, what would you spend it on and why?
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