Common Application Part I - Basic Information
READ CAREFULLY BEFORE COMPLETING THIS FORM! Requirements have changed for 2018/2019. DEADLINE FOR ALL APPLICANTS IS APRIL 27.

Youth Rise Texas is now accepting applications for new members and advanced leaders for ONE FULL YEAR OF SERVICE with our organization. If accepted, your program will begin in June 2018 and end in May 2019. By completing this application you are applying to join our team for one full year.

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 Kymberlie@YouthRiseTX.org

Email address *
First Name *
Your answer
Last Name *
Your answer
Nickname/Preferred Name:
Your answer
Preferred Gender Pronoun:
Phone Number: *
Your answer
What's the best way to contact you *
Required
Age: *
Your answer
Grade or year in college(if not in school type "n/a") *
Your answer
What school do you attend (if not in school type "n/a") *
Your answer
Do you current live with a parent or caregiver? *
If you answered YES above, please provide NAME and PHONE NUMBER of the parent or caregiver that you live with. (If you answered NO above, type "n/a") *
Your answer
I have been enrolled in YRTX programs for at least one year *
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