Greater Worcester Community Foundation


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370 Main Street
Suite 650
Worcester, MA 01608
(508) 755-0980

Contact Us

Youth for Community Improvement

Application Deadline: Noon on Friday, November 14, 2008

Please fill in all fields or application will be considered incomplete.

Note: When you submit your information, a confirmation message will appear in your browser. If desired, you may print it for your records. The message will also contain a link back to the Foundation web site.

Your Name
Address
City
State	Zip
Email
Home Phone	Cell Phone
Birthdate
High School
	If High School is not listed
Grade
Parent or Guardian Name
Parent or Guardian Daytime Phone
Parent or Guardian Evening Phone
Parent or Guardian Email
Employment	Do you currently have a job? No Yes
	If yes, where?
	What is your weekly work schedule?
Ethnicity	Do you consider yourself part of a particular ethnic/cultural group? (Optional) No Yes
	If yes, please identify

Questions
1.	Tell us about the volunteer or community service work you've done in the last three years.
2.	Tell us about any leadership training or experiences you've had.
3.	Provide an example of when and how you helped a group reach a decision or solve a problem.
4.	In YCI, you'll work with people from different backgrounds and experiences. What do you expect the rewards and challenges of working together will be?
5.	If you could create the best possible community to live in, what would it look like?
6.	What is a grant, and why might it be important for a community foundation to distribute grant money?
7.	What contributions and talents can teenagers offer that are different from what adults can offer?
8.	Tell us something special about yourself and why you would be a good addition to YCI.
9.	How did you hear about YCI? School A non-profit organization A family member or relative Another YCI member Other (please specify )
10.	There is an expectation that selected YCI members attend all meetings between mid December and early April. With the exception of one Saturday retreat on December 20, 2008, meetings will be held every other Tuesday (December through February) and then every Tuesday (March through April 7th) from 4-7pm at the Greater Worcester Community Foundation, 370 Main Street, Suite 650 in Worcester. YCI members will also need to fulfill at least one qualified community service project (4 hour minimum plus a one-page written summary) between February 1 – April 1, 2009. Are you able to commit to the above expectations? No Yes If no, please list your conflicts or scheduling concerns
	References
	Please list two adult references, other than family members, who have known you for at least one year. The YCI Coordinator (Amy Mosher) will call your references directly. YCI applicants are responsible for letting their references know that Ms. Mosher will be calling.
	Reference One
Name
Relationship to you
Phone
	Reference Two
Name
Relationship to you
Phone
	Youth for Community Improvement Philanthropy in Action