Teen Board Application Form

Note: this is only for students over the age of 13. Please be sure to read our Privacy Policy before filling out any personal information.

Name

First Name

Last Name

Email Address

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

School Name

Current Grade

Please tell us why you would like to serve on the SPFC Teen Board

Extracurricular Activities (please list activities in which you engaged in the last two years – it is okay if have not engaged in any.)

Please provide the name of an adult with whom we can speak about your application

Name of Reference

First Name

Last Name

Relationship

Contact Number

(###)

###

####

By submitting this application, you acknowledge that you are committed to serving on the SPFC for a two year term.

Electronic Signature

Date

YYYY

I have read the Privacy Policy and Terms of Use Agreement and agree to the terms set forth therein.