Fall 2016 YWCA IGNITE! Giving Youth Fellowship 9/21-5/10 $900 stipend DUE 9/14

IGNITE! Giving Youth Fellowship

A pdf copy of this application can be found here - http://goo.gl/Qd5SNI

All application materials are due September 14th to be considered for the program.

https://docs.google.com/a/wheelsnyc.org/forms/d/e/1FAIpQLSdAbnZCZMvFTaUufKTbE7uuCqps_2eltkWfY1N5q0MDxEtI4A/viewform

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Name *

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Date of Birth *

Date

Phone number *

Your answer

Email Address *

Your answer

Home Address *

Your answer

What is the best way to reach you? *

Phone

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Text

Other:

School *

Your answer

Graduation Year *

2017

2018

2019

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Grade *

9th

10th

11th

12th

Race/Ethnicity

Asian

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What are your gender pronouns?

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How do you identify?

Gender Fluid

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Girl/female

Trans Feminine

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Other:

How do you identify?

Asexual

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Parent/Guardian Name *

Your answer

Parent/Guardian Phone number *

Your answer

Parent/Guardian Email address *

Your answer

How did you hear about the program? *

School

Friend

YWCA

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Parent/Guardian

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