Teen Art Council Application

TEEN ART COUNCIL APPLICATION
Name & Contact Information

First Name

Last Name

Nickname or preferred name

Phone Number

Email Address

Mailing Address

City

State

Zip

Date of Birth

Gender Pronoun

Are you fluent in any language besides English? If so, list below:

Experience

What is your superpower? Tell us how you want to put it to use as a member of The James Museum Teen Art Council (TAC).

What do you want to gain from your exeprience as a member of the TAC?

Are you looking to fulfill service hours for Bright Futures?

Yes No

Have you volunteered for a nonprofit in the past? If so, include organization name, dates of service, and supervisor's name.

Education

School

Grade (entering 2022-23 school year)

Parent/Guardian Info

First Name

Last Name

Relationship

Phone Number

References

Reference 1

First Name

Last Name

Relationship

Phone Number

Reference 2

First Name

Last Name

Relationship

Phone Number

Disclosure & Agreement

Have you ever pleaded nolo contendere (no contest) to, been convicted of or found guilt (even if adjudication withheld) of a first-degree misdemeanor or felony?

Yes No

If yes, please list the dates and explain the offense and disposition fully.

I understand that submission of this application does not guarantee acceptance to the Teen Art Council at The James Museum. If accepted, I agree to abide by The James Museums rules and policies. I understand that I will receive no monetary compensation in return for the services I provide. I attest that the information I have provided on this application is true and accurate.

CHECK THIS BOX TO AGREE.