Fall Youth Organizer Summit TRAINER Application 2019
This is a 3 page TRAINER application for the Youth Organizer Summit with Alaska Youth for Environmental Action.

The Trainer Orientation will be held in Anchorage the before the Summit, so please plan for September 11th-16th. If you fly into Anchorage from a rural area, you may need to plan for an additional day of travel on either end of the Summit. For those that require an additional day for travel, we will provide transportation and housing for all students upon arrival in Anchorage.

Deadline to apply: June 6th. Early applications are appreciated!

Contact Margi if you have any problems or questions, 907-347-6201, ayea@akcenter.org.

Legal First and Last Name *
Your answer
Name you prefer 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 *
MM
/
DD
/
YYYY
Grade in School *
Home Phone/ Work Phone *
907-XXX-XXXX
Your answer
Cell Phone *
if you don't have a cell phone, write None
Your answer
Email Address *
Your answer
Gender *
Preferred gender pronouns (ex: she/her, he/him, they/them)
Your answer
Race/ Ethnicity
optional
Parents'/ Guardians' Names *
If you are applying to be an ADULT trainer, you can write N/A
Your answer
Parents'/ Guardians' phone numbers *
ADULT trainers write N/A
Your answer
Parents'/ Guardians' email address *
ADULT trainers write N/A
Your answer
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