Rotary District 50/50 Youth Engaged in Service (YES) Team Application PLEASE NOTE: You cannot close or save this application. If it is closed you will need to start over.
First, middle and last name *
Your answer
Date of birth *
Your answer
Age *
Your answer
Gender *
Your answer
Home phone number *
Your answer
Your (not parent/guardian) cell phone number *
Your answer
Your Email Address *
Your answer
Parent/Guardian name *
Your answer
Complete Home Mailing Address *
Your answer
Parent/Guardian Email address *
Your answer
Parent /Guardian Phone Number *
Your answer
High School Name and Current Grade Level *
Your answer
What city is your high school in? *
Your answer
What is your cumulative GPA? *
Your answer
Spanish language classes taken and dates (year) taken. (Spanish skills are not required). *
Your answer
What service clubs do you belong to? *
Your answer
Community Service Record - Type of activity and dates involved *
Your answer
A major component of the YES program is personally volunteering for 10 hours of local community service every month from October through May. At least five of these hours must be at the same site each month. This is your Primary Site and it must give you an opportunity to have a significant impact and build relationships with people you would not normally encounter. Where do you think your Primary Service Site will be? *
Your answer
Why would you choose that place for your Primary Service Site? *
Your answer
Local Rotary clubs sponsor a limited number of students. They provide $2,000 and your are required to raise an additional $1,500. You can raise the money you need through parent/family donations, selling YES raffle tickets or other approved fundraising activities. Please describe how you will raise $1,500. *
Your answer
What attracted you to the YES program? *
Your answer
What special skills or talents could you contribute to the YES team both locally and during the international service trip? *
Your answer
Volunteering, fundraising, and monthly team meetings/activities can easily require 5 hours of your time every week. What is you plan for fitting the YES program into your schedule? *
Your answer
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