Junior Ambassador Application

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Hello Potential Junior Ambassadors!

Thank you for your interest in the Junior Ambassador Program! If you are here to apply for the 2023-'24 Junior Ambassador Program, you are in the right place.

Please kindly fill out the following form and any question with a star, indicating it is required.

We look forward to reviewing all of your responses and selecting our next batch of amazing environmental youth leaders.

The application will be open until June 30, 2023 at 7PM. Selections will be made in July with the program starting in September.

Please also share the link to this form with any friends or family who are entering 9-12 grade and may be interested in being a Junior Ambassador at their respective school.

All information in this form is confidential and will not be shared.

If you have any questions about the program, please go to miamiwaterkeeper.org/junior_ambassador to find out more. Or, feel free to email erin@miamiwaterkeeper.org with any inquiries.

Best of luck with the application!

Full Name *

Applicant Email *

Address (Street address, City, State, ZIP) *

Date of Birth *

YYYY

You identify your race/ethnicity as... *

White/Caucasian/European

Hispanic/Latino/Latina/Latinx

Black/African American/African

Native American/American Indian/Indigenous

Asian/Pacific Islander/Asian American

Multi-Racial/Multi-Ethnic

Decline to state

You identify my gender as... *

Female

Male

Non-binary

Decline to state

You identify your disability status as... *

Person with disability

Person without disability

Decline to state

Applicant's Phone Number *

Parent/ Legal Guardian's Name *

Parent/ Legal Guardian's Email *

Parent/ Legal Guardian's Phone Number *

What is the name of the high school you attend? *

What year will you graduate? *

Why are you interested in this program? *

What do you expect to gain from participating in this program? *

What experience have you had that compliments or qualifies you to become involved in this program? Please include volunteer experience, work experience, coursework, and/or experience working within a youth group. *

How will this program enhance your professional/career goals? *

Optional Diversity Statement: Tell us about how your diversity factors shaped you. You may talk about how these factors influenced a unique perspective, certain values, or gave you skills and goals to strive towards in the field of environmental and marine science.

How did you learn about the Junior Ambassador program?

Do you understand that you must submit a parent permission form in order for your acceptance to the program to be complete? **This form will be provided if you/your application is accepted** *

Yes

Do you understand the requirements of this 9 month program and that you will be required to participate in all 4 advocacy trainings and multiple service projects to successfully graduate? *

Yes

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