BC Cancer Foundation: Survey - Youth in Philanthropy Committee Application

Youth in Philanthropy Committee Application

1.

Tell us about yourself

*

Name:

Title	First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Gender:

*

Date of Birth: Required

Date of Birth:

Month

Day

Year

Yes, I would like to receive e-mail from BC Cancer Foundation

Yes, I would like to receive postal mail from BC Cancer Foundation

Remember me. What's this?

2.

Emergency Contact

Name:

Title	First Required	Last Required

Email:

*

Phone Number: Required

Remember me. What's this?

*3.

Question - Required - Name of your school

*4.

Question - Required - What grade are you in?

5.

Question - Not Required - What is your involvement with BC Cancer Agency, if any?

6.

Question - Not Required - Please describe your volunteer experience.

7.

Question - Not Required - Please list and describe your leadership skills and/or experience.

8.

Question - Not Required - Why are you interested in helping BC Cancer Foundation?

9.

Question - Not Required - What are your goals for participating in this committee?

10.

Question - Not Required - What does philanthropy mean to you?

11.

Question - Not Required - Any other comments/areas of interest