Youth Ambassador - Hopekeeper Program Application Form

(Please note that the information collected here is intended to comply with FERPA regulations and protect the privacy of student education records).

First name

Last name

Pronoun/s (optional)

Age

City/State

Current Grade Level

School Name

GPA (optional)

Extracurricular Activities and Volunteer Experience: (Please list any clubs, sports, volunteer work, etc. you are/have been involved with)

Why are you interested in becoming a youth ambassador? (250 words max)

What skills, qualities or experiences make you a good candidate for this role? (250 words max)

If selected, what types of projects or initiatives would you like to work on as a youth ambassador? (200 words max)

Please provide the name, contact information, and relationship for two references (e.g. teacher, coach, supervisor, etc.)

The Reveillie Vittetoe Foundation is a not-for-profit organization incorporated in the state of Illinois. It is recognized as tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Contributions are tax-deductible to the extent permitted by law. Tax identification number is 38-4304078. IRS Determination Letter can be found HERE.