EmailMe Form - Portland Teen Board of Directors Application

Name

First Last

High School Name

Entering Grade for 2019-2020 School Year:

9th

10th

11th

Email

Phone

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Emergency Contact

Name

First Last

Relationship

Phone

### - ### - ####

Email

Address 2 (if applicable)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Opportunities
- Attend free Fall Overnight Retreat October 5th & 6th, 2019 (this is REQUIRED)!
- Training in public speaking, inclusivity tactics, team building, and leadership skills
- Lead assemblies, events and teaching opportunities at middle schools throughout Portland
- Possibly travel to leadership events nationwide
- Be part of a national organization working to end social isolation!

Commitments
Serving on the Teen Board of Directors requires an enormous commitment. Our members have been identified as change makers in their communities - young people who are ready to take on the task of ending social isolation in middle schools.

Teen Board members are REQUIRED to participate in the following:

* Promptly respond to emails and texts from Beyond Differences Staff
* Attend all monthly Teen Board meetings - typically held on the first Sunday of the month (2 excused absences maximum)
* Attend the October 5th & 6th Retreat and Mid-Year Retreat (January, date TBD)
* Attempt to raise $500 for Beyond Differences with fundraising training provided
* Volunteer at the Fall Fundraising event on November 1, 2019
* Facilitate Middle School Leadership * Meetings and/or assemblies 2-3 times per school year
* Aid in the development and implementation of Beyond Differences
Positive Prevention Initiatives
* Know Your Classmates (October 25, 2019)
* No One Eats Alone (February 14, 2020)
* Be Kind Online (May 15, 2020)

By signing below, you agree to the above list of requirements and responsibilities.

Student Signature: *

Clear

Parent or Guardian Signature: *

Clear

Answer the essay questions below.

1. Briefly explain why you would like to join Beyond Differences. *

2. What experience either in or outside of school has influenced you to think about social
isolation. *

3. Think about your experiences with social isolation, how can you make a contribution to Beyond Differences because of this experience? *

4. Describe your greatest leadership skills, and how comfortable are you with speaking in front of an audience? *

5. What makes you want to either learn to become a leader or expand your current leadership skills? What leadership skills do you think you could improve? *

6. Please list other extracurricular activities in which you are involved or will be involved in next year. (For example: sports, religious school, clubs, community organizations) *