Youth Over Violence

Youth Leader Application

June 25th — July 27th
Mondays — Thursdays
10am — 4pm

Name *
Name
Address *
Address
Phone *
Phone
Birthdate *
Birthdate
Parent/Guardian *
Parent/Guardian
Parent/Guardian Phone *
Parent/Guardian Phone
EMERGENCY CONTACT
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
REFERENCES
Please do not list family members.
Reference 1
Reference 1
Reference 1 Phone
Reference 1 Phone
Reference 2
Reference 2
Reference 2 Phone
Reference 2 Phone
Do we have permission to contact your references?
APPLICATION QUESTIONS
Please answer the following questions with at least one paragraph.
Family, community, hobbies and interests.
Which Youth Over Violence activities are you interested in staying active in throughout the year?
For example, are you part of any clubs or organizations? When do you meet with those groups?
Throughout the year, Youth Over Violence has mandatory monthly meetings and hosts other events. Can you commit to a meeting on the 3rd FRIDAY OF EVERY MONTH from 5:00-7:00pm and other events as they arise?