Youth Ambassador Program Application

Name

First and Last

School Name

Address

Street Address Address Line 2 City Postal Code

Phone*

Email*

Skills & Experience (Please click all that apply)

How did you hear about the Youth Ambassador Program?

Why do you want to be a Youth Ambassador for 360°kids?*

How do you think your past experience would help you as a Youth Ambassador? Be Specific.*

If you could do one positive thing as a Youth Ambassador, what would it be? Secondly, what do you hope to gain from this experience?*

Please Select Your T-Shirt Size*