Youth CAUSE Application

YSA

Youth CAUSE Initiative Application Form

Applicant Information

* Indicates required field

Applicant Name *

First

Last

Age *

I identify my gender as: *

School *

Which of the following Youth CAUSE Initiative committees would you like to join (click all that apply): *

Urban Sustainability Climate Change Social Innovation and Data Science Science Communication

Would you like to be considered for the Youth Board of Directors? *

How many hours can you dedicate per month to YSA's mission? *

What days are you available to participate in YSA activities? *

Mon Tues Wed Thurs Fri Sat morning

What times are you NOT available? *

Short Answer

Please answer the following questions in a few sentences:

How can you contribute to the mission of YSA? *

Which of the four research themes of the Youth CAUSE Initiative do you most identify with? Why? *

Why is diversity important in science or at school? *

what is the biggest issue in wilmington that science can help solve? How? *

Signature of Applicant *

date *

MM/DD/YYYY

Submit

Young Scientist Academy // 501(c)(3) EIN 81-4999928
Suite 420, 20 N 4th Street
Wilmington, NC 28401
Ph: (910) 386-1867