Youth Development Initiative Application Questions

You may provide your answers in writing. This application may also be completed via zoom with the Youth Engagement and Empowerment Coordinator.  If you have any questions, or you need assistance completing the application please contact Rachel Shandler, the Youth Engagement and Empowerment Coordinator Email: rshandler@spanadvocacy.org
 Phone: 215-550-1340

Applications are due November 15th 2022
1.Name:
2.Pronouns:(Required.)
3.Age:
4.Email:
5.Phone number
6.Address:
7.City:
8.State:
9.Zip Code:
10.Preferred Way to be Contacted:
11.Which race/ethnicity best describes you? (Please choose only one.)
12.What is your Preferred Language(Required.)
13.Sexual Orientation:
14.Some people also identify as Latinx or Hispanic(Required.)
15.Gender: How do you identify?
16.Do you have a disability?
17.If you answered yes to the previous question, please explain?
18.Do you know what disability accommodations you need? If you do, please list them. (It is ok if you don't).
19.Why do you want to be part of the Youth Development Initiative?
20.How did you hear about this opportunity?
21.Due to the youth being a minor, (under 18) we must have a parent or guardians signature. Please type the name of the parent or guardian below(Required.)