Youth Rise Tx Application Part I - Basic Information
READ CAREFULLY BEFORE COMPLETING THIS FORM! DEADLINE FOR ALL APPLICANTS IS June 10. Please attend an Info Session at Youth Rise Texas to learn more information about this opportunity.

Youth Rise Texas is now accepting applications for new members and advanced leaders for 2 week long session with our organization. If accepted, your program will begin in JUNE 2019 and end in JULY 2019. By completing this application YOU ARE APPLYING TO JOIN OUR TEAM FOR A FULL 2 WEEKS!

Important Upcoming Dates:

April 9: INFO SESSION (6:00pm-7:30pm) Optional, but recommended
April 16: INFO SESSION (6:00pm-7:30pm) Optional, but recommended
June 7: REQUIRED ORIENTATION (1:00pm-6:15pm)
June 18th - June 28th (Session 1)
July 16th - July 26th (Session 2)

1307 E 4TH ST.

This form serves as an application for both FIRST-TIME and ADVANCED LEADERS. Please read instructions at the end of each section carefully to determine which parts of the form you need to complete. Please fill out the following application to the best of your ability. Space is limited for our programs. Applications with complete and well-thought-out answers will be prioritized. Note that completion of the application DOES NOT guarantee your enrollment.

After you submit your application, you will receive an email confirming that we have received it (if you do not receive a confirmation email your application has not been received. Please contact the email address below). After receiving your application we will invite you to an interview to share more about yourself and your goals for your year of service with Youth Rise Texas. Interviews will be conducted on a rolling basis.

If you have questions about filling out this form please email
Email address *
First Name *
Last Name *
Nickname/Preferred Name:
What are your Preferred Gender Pronouns? **(A preferred gender pronoun is the pronoun that a person chooses to use for themselves and would like other people to use when talking to or about them. For example: If Jamie's preferred pronouns are she, her, and hers, you could say "Jamie ate her food because she was hungry.")
Clear selection
Phone Number: *
Is the phone number you provided your own phone number or a parent/family member? *
Please provide us with a parent/guardian/family member name and contact phone number. *
If you are over 18 and do not live with a caregiver please type N/A
What's the best way to contact you *
Age: *
High school grade or year in college(if not in school type "n/a") *
What school do you attend (if not in school type "n/a") *
I have been enrolled in YRTX programs for at least one year *
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