F.I.R.E. Squad Youth Coalition Application

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F.I.R.E. Squad Youth Coalition Application

Do you want to be an advocate for drug prevention in your community? Do you see yourself as a leader and positive role model amongst your peers? Do you wish to partner with other community leaders in order to create change? Good news! Edisto Health Coalition's F.I.R.E. Squad Youth Group is the coalition that is meant for you! Youth from the ages of 12-18 within Orangeburg, Calhoun, and Bamberg counties are eligible to apply. (2022-2023 prevention year)

Name:

Date of Birth: *

YYYY

School Name: *

Grade: *

Telephone #: Parent Home and Cell *

Home Address:

Parent email address: *

Race: *

Asian

Black/African American

Caucasian

Hispanic/Latino

Native American

Other

Gender *

Female

Male

My child is a member of the following clubs and organizations: *

What can I contribute? *

Planning/Creative Ideas

Social Media Skills

Picture/Video Editing

Creating flyers

Public Speaking Skills

Organizational skills

Set up/breakdown of meetings and events

Arts and Crafts

Recruiting skills

Typing letters and emails

Acting/Drama skills

Great energy and participation

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