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Y-WE Nature Connections: Environmental Leadership Council (ELC) 2018-2019 Application

Upon completion of this application, you will be contacted by a Y-WE staff member to set up an interview. All participants will be informed if they have been accepted to the ELC by Friday, September 28, 2018

Youth Information
This form is for young women*, ages 13-18, who wish to enroll in the Environmental Leadership Council (ELC). Please look over the application below and prepare to complete and submit it in one session. You WILL NOT be able to save the form mid-way through.
Y-WE Inclusion Policy
*Y-WE empowers people who identify as women, were socialized as women, or who were assigned female at birth. Gender nonconforming, gender non-binary, trans, intersex, and other gender variant participants are welcome."
Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Cell phone number is best
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(mm/dd/yyyy)


she/her, they/them, he/him, etc.



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Y-WE is dedicated to creating inclusive spaces and programs for all, including people with disabilities and specific accommodation needs.
Youth's Personal Information (to be completed by youth)
Your answers to these questions help us to get to know you better and understand what inspired you to apply to Y-WE. We shape our programs around the passions and goals of the young women who participate, so your answers to these questions really matter to us!
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Your Commitment to Y-WE:
Since we have limited space in all our programs, and we want to make sure you get the most out of your Y-WE experience, we require a commitment from you to participate in all activities related to the program you are signing up for. If you miss our events regularly, without pre-approval from the program director, we may ask you to leave the program and offer your spot to someone else who can fully take advantage of the opportunity.
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Parent/Guardian Contact Info (to be completed by parent/guardian)
Please fill this section out completely so that we can contact you about upcoming events and notify you if any emergency situation were to arise while this young person is at our program.
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Y-WE receives food donations from many sources. This demographic is collected by our donors. Thank you.
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Medical Information
Your answers to these questions help us to assure participant health and safety while in program activities.
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