Civics & Conservation Summit Application 2020
Please visit to learn more about the program before applying.

This is a 3 page application for the Civics & Conservation Summit with Alaska Youth for Environmental Action. This first page is short answers, the second page is paragraph answers, the last page is check-boxes. Deadline to apply: SUNDAY, JANUARY 18th. Early applications are appreciated.

If you attended a previous Civics & Conservation Summit please apply to be TRAINER, that application is here:

Contact Margi if you have any problems or questions, 907-347-6201,

Thanks for your interest!
Email address *
Legal First and Last Name *
Your answer
Name you preferred to be called
if different than your legal name
Your answer
Mailing Address *
Your answer
City/ Village *
Your answer
Zip Code *
Your answer
Date of Birth *
Grade in School *
Home Phone *
Your answer
Cell Phone *
if you don't have a cell phone, write None
Your answer
Best phone to reach you: *
We will call you to talk about your application and acceptance
Gender *
Race/ Ethnicity
Parents'/ Guardians' Names *
If you are an emancipated minor, or your legal guardian is unavailable, put "n/a" in these section.
Your answer
Parents'/ Guardians' phone numbers *
Your answer
Parents'/ Guardians' email address *
Your answer
Best way to reach your Parents'/Guardians:
We need to talk to your guardians in order for you to attend the Summit
Your answer
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