YEA Student Ambassador Sign Up Form
Please use this form to indicate your interest in becoming a Student Ambassador with Youth Environmental Action. Ambassador candidates are high school students living in Wicomico, Somerset, and Worcester counties who are eager to learn and serve their communities.

What is the commitment of a YEA Ambassador? 
1) We hope that you can join us for our monthly meetings. Meetings are schedule in our GroupMe using a poll to identify the best time for all students. 
2) Participate in environmental action opportunities in our community. This looks like a variety of different things -- from collaborative action projects to leading your own! 
3) Engage in the GroupMe which is a free app where we share information and stay connected. 

After you complete this form we will be in touch within a week or so. If you have any questions at all, please reach out to Elise Trelegan (info@yeasummit.org or text at 508-254-7387)
Sign in to Google to save your progress. Learn more
Email *
Back Up Email Address
(Sometimes we have trouble with school emails not going through so if you have a gmail or other back up email from your student address list it here!)
Your Name *
What grade are you in? *
Required
What high school do you typically attend? *
YEAS Ambassadors use the GroupMe platform to communicate. Do you have permission from your parent to share your phone number to communicate this way? *
If yes, please enter your phone number here and we will add you to the group message.
Which of these skills are you most interested in gaining from being a YEA Ambassador? *
Required
Which of these activities are you most interested in participating in as YEA Ambassador? *
Required
Anything else you want to tell us?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report