PROGRAMS/PROJECTS > Hampton's Neighborhood Youth Advisory Board

Neighborhood Youth Advisory Board

Membership Application 2007-2008:

Print application and mail to:

Wakili McNeill, MSW
757-838-2330 x215
2021B Cunningham Drive
Hampton, VA
wmcneill@altinc.org

Click here for email PDF Version of Application

(Please PRINT clearly!)

Name ______________________________________________  

Age ____________

Grade ________School __________________________________  

Gender:    M     F

Street Address __________________________________________________________

City __________________________________________

Zip _____________________

EMAIL (print CLEARLY) _________________________________________________

Phone (home) _________________________(cell)_______________________

 

Please answer the following questions (Attach extra sheet if needed):

1. What are three words that describe your personality, and why do you choose    those three words?

 

 

 

2. What community service organizations or neighborhood work efforts have you participated in, if any?

 

 

 

3. If you could change one thing about your neighborhood, what would it be?

 

 

 

4. Do you know other youth in your neighborhood who might be interested in getting involved?

 

 

 

5. What does youth engagement mean to you?

 

 

 

6. Why do you want to join the NYAB?

 

7. What could you contribute to the NYAB?

 

 

 

8. How do you expect to benefit from being on the NYAB?

 

 

 

Rate your preference for the following:

1= Very Important    2= Somewhat Important    3= Okay    4= Not Important at all

 

Working Efficiently             1                      2                      3                      4

Good Attendance               1                      2                      3                      4

Group Activities                 1                      2                      3                      4         

Individual Projects             1                      2                      3                      4

Giving Presentations          1                      2                      3                      4

Evaluating Grant Applicants            1                      2                      3                      4

Leadership                                   1                      2                      3                      4

Leading Activities for Groups          1                      2                      3                      4

Teaching/ Training Groups              1                      2                      3                      4

Public Speaking                              1                      2                      3                      4

Rewards and Incentives                 1                      2                      3                      4

 

Who did you get this application from? _________________________________

Now, give the completed application back to the person who gave it to you, or mail it to us at:

 

NYAB

Alternatives, Inc.

2021-B Cunningham Drive #5

Hampton, VA 23666

757-838-2330

Email: wmcneill@altinc.org  Subject heading:  NYAB Application