Teen Board and Ambassador Returning Participant Applications

Full name*

First Last

Grade in school (2019-2020)*

Please enter a number from 8 to 12.

School attending*

Home address*

Street Address Address Line 2 City State ZIP Code

Cellphone number

Home phone number

Personal email address*

Parent or guardian’s name*

First Last

Parent or guardian’s email address*

Please indicate your availability to meet for Teen Board or Teen Ambassador meetings:*

(Check all that apply)

List your extracurricular activities:

(please explain)

I’m applying for*

Teen Board (You must be a junior or senior in high school or have participated on Teen Board in the past to apply to be on Teen Board. This group meets once a month to plan initiatives and discuss Children’s Hospital Foundation events to improve fundraising and community outreach. Teen Board members are expected to volunteer at Children’s Hospital Foundation events and raise funds for Norton Children’s Hospital.)
Teen Ambassadors (Teen Ambassadors are a group of eighth grade and high schools students in the Louisville and Southern Indiana area. This group meets much less frequently than Teen Board, only three times during the school year. The Teen Ambassadors support Teen Board initiatives, volunteer at Children’s Hospital Foundation events, and raise funds. This program is a great stepping stone for those interested in the Teen Board and in supporting Norton Children’s Hospital.)

Returning participant questions:

1. How many years have you been on Teen Board or been a Teen Ambassadors? Why would you like to be a part of this program again?

2. What is one thing you would change about Teen Board or Teen Ambassadors?

3. What experience or skills do you expect to gain or continue to grow from becoming a member of Teen Board or Teen Ambassadors?

4. How do you envision the programs growing this year, and how to you hope to facilitate that growth?