Green teen council

Member Application

Application must be turned in by September 5th to Keep Evansville Beautiful

812-425-4461    209 Main St., Evansville, IN 47708    hvincent@keepevansvillebeautiful.org

 

Applicant Information

Last Name

 

First

 

M.I.

 

Date

 

Street Address

 

Birth Date

 

City

 

State

 

ZIP

 

Phone

 

E-mail Address

 

School

 

Grade

 

GPA

 

 

Student involvement

Extracurricular Activities

 

 

Volunteer Work

 

 

Work Experience

 

 

Hobbies/Interests

 

 

about you

Please let us get to know you a little by answering the following questions.

If you had to describe yourself in only one word, what would it be?

 

What is your favorite quote?

 

 

If you could travel anywhere in the world right now, where would you go and why?

 

 

Please list three traits you believe a good leader should possess.

1.

2.

3.


 

Qualifications and goals

Why do you want to join the Green Teen Council?

 

 

 

What makes you qualified to join the Green Teen Council?

 

 

 

 

What would you like to accomplish as part of the Green Teen Council?

 

 

 

 

Which KEB Focus are you most passionate about? Please circle one.

Litter Abatement

Recycling

Beautification

 

short essay questions

Who is someone that has inspired you? Why?

 

 

 

 

In what ways are you environmentally conscious?

 

 

 

Why do you feel it is important to be environmentally conscious?

 

 

 

 

 

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to membership, I understand that false or misleading information in my application or interview
may result in my release.

Signature

 

Date

 

*APPLICATION DEADLINE: September 5th, 2018