EBI Youth Board – Expanding Boundaries International

Name *

First

Last *

Last

Home Phone

Mobile Phone

Date of Birth

Current grade or year Current grade or year

Name of your school

Your Email *

Address *

Address

City

State/Province

Zip/Postal

Country

Address

Your parent's / legal guardian's email: If you are below the age of 18, we require a guardian consent for you to participate in the programme. Please include the email address of your parent/guardian below. They will receive an email informing them you have applied to the programme, and, in case of being selected, they will receive a link to a privacy consent form to allow you to participate in the programme.

Your parent's / legal guardian's email again:

Please list Boards & Committees that you serve on or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social). List Organization, Role/Title & Years of Service

How did you hear about this opportunity? *

Please provide a brief biography that addresses your skills, background, and interest in serving on the Expanding Boundaries International Board.

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YOUTH BOARD APPLICATION

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