First and Last Name *

Email Address *

Mailing Address *

Phone Number *

Birthday *

What school will you attend during the 2019-2020 school year? (Please list the school name, city, and state.) *

What grade will you be in during the 2019-2020 school year? *

How did you learn about Boo2Bullying? *

What interests you about our organization and programs? *

Are there any particular areas in which you are most interested in? *

Can you commit to hosting or attending at least one club meeting per month? *

Do you agree to attend a mandatory Student Ambassador training before becoming an Ambassador? *

Do you agree to participate in ongoing training (either online and/or in-person) on a regular basis as needed (not to exceed 4 times per year)? *

Is there anything else you'd like us to know about you? *

Is there anything you'd like to know about us and our organization before volunteering? *