Teen Candidate Application

Submission Deadline: Sunday, January 25th, 2026.

If you have any questions prior to filling out this form, please reach out via the contact form on this website.

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Email is our primary method of communication, so please use an account that you check regularly.

Parent/Guardian Email Address

Phone

(###)

###

####

School

Grade

Expected Graduation Date

Talent

Community Service Initiative

This is the topic/issue you will spend your year of service advocating for, and should be something you are passionate about. Something you can speak from your heart about. Something that you can easily explain to people when at an appearance.

How did you hear about us?

Comments/Notes