Youth Seva Exchange Program
This form is to be filled out by Youth
who are interested in participating.
Name
First and Last
Your answer
Birthdate
MM/DD/YYYY
Your answer
Gender
Phone Number
Your answer
Email
Your answer
Available Hours
Morning
Afternoon
Evening
Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
GPA
School Grades
Your answer
Special Talents or Interests
What type of service do you like to do? Do you prefer working outdoors or indoors?
Your answer
Submit
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