Texas Youth Empowerment Council
*
NAME
*
EMAIL
If under the age of 18, Parent's Name
If under the age of 18, Parent's Email
If under the age of 18, Parent's Number
*
Age Range
10-12
13-14
15-17
18-21
*
Gender
Male
Female
Other
*
Ethnicity
Black
Asian
Native Hawaiian, Pacific Islander
White/Caucasian
Hispanic/Latino/a
American Indian/Alaska Native
*
What City/Town are you located in?
*
Why are you interested in serving this Council?
*
How do you envision your role on this Council?
*
What are some of your strengths?
*
What is your availability for Conference Call?
Weekdays, Morning (8a-12p)
Weekdays, Afternoons (1p-4p)
Weeksdays, Evening (after 5pm)
Weekends, Morning (8a-12p)
Weekends, Afternoons (1p-4p)
Weekends, Evening (after 5pm)
Other