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SHAPE Application 2016-17
SHAPE Application
Name *
Your answer
Address (Including City) *
Your answer
E-mail Address *
Your answer
Birth Date *
Your answer
Age *
Your answer
Gender *
Your answer
Sexual Orientation (Optional)
Your answer
Race/Ethnicity (Optional)
Your answer
Cell Phone Number *
Your answer
Home Phone Number *
Your answer
Are you in school? *
Where do you go to school? *
Your answer
What grade will you be in the 2016-17 school year? *
How did you hear about SHAPE? *
Your answer
What activities are you in and when do they take place? *
Your answer
Have you read the SHAPE brochure and do you understand the position for which you're applying? *
Are you able to make the required commitment? *
SHAPErs are required to attend: meetings every other Wednesday from 5-7pm during the school year, twice a year check-ins with mentors, a weekend fall retreat in October, and a one day winter retreat in March.
Why do you want to be in SHAPE? *
Your answer
What are some of your concerns about sex and sexual health among teens? *
Your answer
What's an interesting community activity you have participated in? Why was it interesting? *
Your answer
What qualities, special skills, interests, and/or talents will you bring to your work as a member of SHAPE? *
Your answer
What do you think "reproductive justice" means? Are you pro-choice (there is no right or wrong answer to this question)? *
Your answer
Do you have and questions for us about SHAPE? *
Your answer
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