Dixwell Community Q House Advisory Board Youth Director Application
Thank you for your interest in joining the Dixwell Q House Advisory Board; we need your voice! Applications should be submitted by Monday, February 28th, and we will contact you regarding next steps in the first week of March.

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General Information
First Name *
Last Name *
Pronouns
Race/Ethnicity
Preferred Email Address (non-NHPS) *
Phone number
Confirm that you are a current SOPHOMORE at Hillhouse High School *
Current unweighted GPA (must be 2.5 or greater) *
Your GPA can be found by asking your guidance counselor for your school transcript. Your GPA will be located on the bottom right corner.  
Please list any extracurricular activities you have participated in over the past two years *
Personal Responses
Personal statement: What does community mean to you? (200-500 words) *
Why do you want to be a Youth Director on the Dixwell Community Q House Advisory Board? What suits you for this position and what appeals to you about the Q House specifically? (200-500 words) *
Being a member of the Advisory Board involves a significant time commitment each month; how will you manage your time effectively? What are your other commitments and how will you balance them? (max: 350 words) *
Reference(s)
Please provide at least one letter of recommendation from a school guidance counselor, teacher, administrator, or staff member who can attest to your academic standing and presence in your school's community in addition to or instead of a letter of recommendation from a group leader, mentor, supervisor, etc (non family). Recommender(s) should submit their letter(s) in PDF format directly to dixwellqhouse@gmail.com by February 28th if possible, but there is room for flexibility with early March submission. Applications are not considered complete until the required letter of recommendation is submitted.
Name, email/phone number, and relationship to you of your primary recommender *
Name, email/phone number, and relationship to you of your optional recommender if you choose to request one
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