Jr. Board of the Northwestern Settlement Application Form
We are in search of a group of inspiring 7th-12th graders interested in being the founding members of the Junior Board of the Northwestern Settlement. The co-ed board will organize service and social activities to raise awareness of the Northwestern Settlement mission and programs among our friends, neighbors and classmates -- and have fun volunteering together!

The membership expectations are to:
1) Attend at least three meetings per year
2) Participate in at least two volunteer or social activities per year

Applicants must be children of a current member of the North Shore Board of the Northwestern Settlement. Our first meeting will be February 24, 2019. Dues will be $40 for supplies, food, and beverages during meetings and social activities.

Please take a minute to complete our application below by February 17th. Contact Cassie Buccellato (cbuccellato@comcast.net) or JoAnn Gordon (jgordon1305@gmail.com) if we can answer any questions.


Email address *
Please enter the sponsor's email in the space above
Please provide the name of the member of the North Shore Board of the Northwestern Settlement sponsoring the applicant below: *
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Please provide the applicant's first and last name: *
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Please provide the applicant’s current grade level in school (applicants must be in grades 7-12) *
Applicants, please share a little information about yourself. What are your interests, hobbies? Are you involved in any other activities, sports or clubs?
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Where do you go to school?
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What is the best phone number to reach you?
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Where should we email information to you? *
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What is your street address?
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Please provide your city
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Please provide your state and zip code
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A copy of your responses will be emailed to the address you provided.
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