Youth Views Advisory Board: Application Form
Name: Age:
Mailing Address:
Phone Number (s): Email:
Application Deadline: January 22, 2001. Please return this application and a completed Recommendation Form (if your application is sponsored or supported by an organization, this form must be completed and accompany your application) to: Irene Villasenor, P.O.V., Youth Initiatives Coordinator, 220 West 19th Street, 11th Floor, NY, NY 11217 or fax: (212) 989-8230 or via e-mail: hitvdept@pov.org
  1. When is the best time to reach you?

  2. Are you currently attending high school or college? YES NO
    If YES, please state grade/year and the name of the school or college.

  3. Please list clubs or organizations that you are currently involved with, state what you do with these groups, and why you joined:

  4. Is your application being sponsored by any agency or group? YES NO
    If YES, please state the name of the sponsoring organization and be sure to have them complete the Recommendation Form. (This form must accompany your application.)

  5. Please explain why you are interested in P.O.V.'s Youth Initiatives Advisory Board and how you could contribute to the group in 250-300 words? (Attach additional sheets, if necessary).
P.O.V./American Documentary, Inc., 220 West 19th Street, 11th Floor, NY, NY 11217
Ph: 212-989-8121 Fax: 212-989-8230
hitvdept@pov.org

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Last updated 12/14/2000 by Jean Richter, richter@eecs.Berkeley.EDU