YOUTH ORGANIZING MKE - NEW MEMBER APPLICATION 2019-2020
Please answer each question and click submit.
ABOUT YOU
Last Name: *
Your answer
First Name: *
Your answer
School: *
Your answer
Current Grade Level: *
If you are currently not attending school select "Not enrolled"
Date of Birth: *
Your answer
Age: *
Gender: *
Race/Ethnicity: *
Required
CONTACT INFO
Home Address: *
* Example: 1234 N. 12th Apt. 201, Milwaukee, WI 53200
Your answer
Phone Number: *
Write the best number to reach you at. If you do not have a working phone number write N/A
Your answer
Email Address: *
If you do not have an email address or you can't remember it write N/A
Your answer
Twitter Name: *
If you do not have a Twitter account write N/A
Your answer
Facebook Name: *
If you do not have a Facebook account write N/A
Your answer
INTEREST AND AVAILABILITY
What would you like to do for a career? *
Required
What issues do you care about? *
Required
Are you currently involved in any other programs/activities after school? *
Required
Is this your first time applying to join Urban Underground? *
If no to the previous question, when did you last apply?
Your answer
How did you hear about us? *
Required
If you were referred by someone please write their name below.
If you were not referred by someone please skip this question.
Your answer
Are you free every Tuesday after-school from 5-7:30pm? *
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