Friday, August 26, 2016

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
Name 

Your answer
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

Email

Text

Other:

School 

Your answer
Graduation Year 


2017

2018

Other :


Grade 


9th

10th
Race/Ethnicity

Asian

Black or African-American

Hispanic or Latinx

Native American

White

Other:

What are your gender pronouns?

Your answer
How do you identify?

Gender Fluid

Gender Non-Conforming

Gender Queer

Girl/female

Trans Feminine

Trans Masculine

Other:

How do you identify?

Asexual

Bisexual

Heterosexual

Homosexual

Pansexual

Queer

Other:

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

Other organization

Parent/Guardian

Newsletter

YWCA Website

Other Website

Other:

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