Youth Engagement Group - Shore Junction

First Name

Last Name

Age

Phone Number

School / University / Other

How would you describe yourself in 5 words, or if you were a cartoon character which one would you be and why?

What appeals to you about joining the YEG at Shore Junction?

What dreams do you have for Shore Junction?

What pillar areas are you most interested in and why?

Tell us about a community issue you think is important and why?

Do you have any experience in leadership roles?

What do you hope to get out of being part of YEG?

The meetings are on a Wednesday afternoon roughly within 3:30pm - 6pm, please confirm if this availability suits you.

Yes No

Have you had any criminal convictions within the last 10 years, or are you currently awaiting proceedings for any criminal offences?

Yes No

Do you believe pineapple should be on pizza?

Yes No

DECLARATION AND AUTHORISATION

I certify that all information that I have provided to you is true, accurate, and complete.