Teen Science Café Youth Leadership Team Application
A Teen Science Café is a free, fun way for teens to explore science and technology. Teens will participate in lively discussions and activities with scientists. The Youth Leadership Team contributes ideas on science topics, recruits friends to attend cafés and helps organize, set-up and run each cafe. Youth Leadership Team (YLT) members are required to attend all YLT meetings and cafés.
Personal Information
Name (First & Last) *
Your answer
Date of Birth *
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Gender *
School *
Your answer
Grade *
Current science and math courses and teachers *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
E-mail Address *
Your answer
Best way to communicate with you: *
Parent or Guardian Information
Parent or Guardian’s Name *
Your answer
Parent or Guardian’s Phone Number *
Your answer
Parent or Guardian’s Email Address *
Your answer
Did your parent or guardian give you permission to apply for and serve as a Teen Science Café Youth Leadership Team member? *
Tell us about yourself and why you would like to become a part of the Youth Leadership Team
Why do you want to be on the Teen Science Café Youth Leadership Team? *
Your answer
What would you contribute to our Teen Science Café as a Youth Leadership Team member? *
Your answer
What ideas do you have for Teen Science Café topics? *
Your answer
What activities, clubs, or school groups are you currently involved with? How much time do you spend on each activity per week? *
Your answer
What are three words or phrases you would use to describe yourself? *
Your answer
What do you consider to be your best personal qualities? *
Your answer
Is there any additional information you would like us to know about you?
Your answer
Youth Leadership Team members are required to attend YLT meetings and cafés.
Will you commit yourself to the necessary time, including weekends and some evening hours, needed to satisfactorily participate in all activities that are part of Teen Café Program? *
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This form was created inside of South Dakota Discovery Center.