Returning Member Application

Member Name: *
Nickname (optional):
Address: *
Apt. #:
City: *
State: *
Zip: *
Home Phone:
Cell Phone:
Gender: *
School: *
Grade: *
D.O.B: *
Format: _____/_____/_____
Culture: *
Email: *
Parent 1 (Custodial) Name: *
Relationship: *
Home Phone (if different):
Cell Phone:
Parent 2 Name:
Home Phone (if different):
Cell Phone:
T-Shirt Size: *
Sweatshirt Size: *
Essay Questions
Minimum of five sentences per question
What skills did you gain as a 2019-2020 member of Urban Underground? *
How has what you learned as a 2019-2020 member benefited you at home, in school and in your community? *
How do you want to lead as a 2020-2021 member? *
As a returning member the expectation is that you are shaping what this year looks like, describe how you want to show up as a leader at Urban Underground and in the community.
How can we support you to ensure you're successful as a 2020-2021 member? *
Members provided feedback that they wanted more staff support, and we want to show up for you in meaningful ways. What does that look like?
What days are you committed in being at Urban Underground, besides normal session dates (Wednesdays, 3pm-5pm)?
Select which date(s) are best for you to attend Urban Underground info sessions for incoming members.
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