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Miami Waterkeeper Junior Ambassador application form
The Miami Waterkeeper Junior Ambassador program is a year-long program that develops a cohort of high school students into young environmental leaders. You will gain an understanding of issues impacting Biscayne Bay and the surrounding watershed, receive training in civic engagement and advocacy, and participate in various service events.
Email address *
Student's Name *
First and last name of student
Your answer
Student's Phone number *
Your answer
Date of Birth *
Birthday of student
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DD
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YYYY
What grade are you entering? *
Required
Parent/Guardian Name *
First and last name of parent/guardian
Your answer
Parent/Guardian Phone number *
Your answer
Parent/Guardian Email *
Your answer
Name of your high school *
Your answer
Name of your science teacher *
Your answer
Why are you interested in this program?
Your answer
What do you expect to gain from participating in this program?
Your answer
What strengths will you bring to the program?
Your answer
What experience have you had that will compliment or qualify you to become involved in this program? Please include volunteer experience, work experience, coursework, and/or experience working with youth.
Your answer
How will this program enhance your professional/career goals?
Your answer
How will you manager your time to ensure full commitment to this year-long program as well as school and other extra-curricular activities?
Your answer
How did you learn about the Junior Ambassador program?
Your answer
A copy of your responses will be emailed to the address you provided.
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