2021 AYEA Youth Organizer Summit Application

Each year Alaska Youth for Environmental Action hosts a fall Youth Organizer Summit, bringing together young Alaskans from across the state to gather and discuss issues in their communities and gain skills to address those issues. During the YO Summit, we also decide upon and start planning our statewide campaign for the year. The summit is scheduled for November 11-15th over Zoom and applicants are expected to attend the summit in full.

Please see our website for more information about the Youth Organizer Summit and our expectations for attendees. Applications are due by October 22nd.

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Your Information

First Name Last Name

Date of Birth Pronouns (Optional)

Gender (Optional)

Race (Optional)

Ethnicity (Optional)

Street Address Address Line 2 (Optional)

Postal Code City State/Province

Email Mobile Phone

Remember me so that I can use FastAction next time.

(Optional)

Tell us more!

Preferred Name (Optional)

What name and pronouns should we use when contacting home? (Optional)

What name and pronouns should we use when contacting your school? (Optional)

Grade and School

Legal Guardian Name

Legal Guardian Phone

Legal Guardian Email

Please provide examples of your involvement with environmental, health, social, cultural, or civic engagement activities.

What are you hoping to contribute to the summit?

What are you hoping to take away from the summit?

Tell us 3-4 sentences about yourself! If you are accepted to the summit, we will use this bio to introduce you to other participants and trainers.

If I am selected I will complete required forms and send to AYEA staff at the Alaska Center Education Fund
If I am selected I will complete required forms and send to AYEA staff at the Alaska Center Education Fund is required.

Yes

No

Need Support (Please Specify) Need Support (Please Specify)

If I am selected I commit to engaging with the statewide campaign we select, and collaborating with other teens to organize with our communities
If I am selected I commit to engaging with the statewide campaign we select, and collaborating with other teens to organize with our communities is required.

Yes

No

Need Support: Need Support: (Optional)

I will attend the full summit ( November 11-15)
I will attend the full summit ( November 11-15) is required.

Yes

I need to talk to an AYEA staffer about this

I will get involved with my local chapter’s activities (Optional)
I will get involved with my local chapter’s activities is required.

Yes

No

There is no chapter in my community/I'm not sure

Need Support: Need Support: (Optional)

I will stay in contact with AYEA adult mentors, staff, and other youth organizers about the statewide campaign and what is going on in my community.
I will stay in contact with AYEA adult mentors, staff, and other youth organizers about the statewide campaign and what is going on in my community. is required.

Yes

No

Need Support: Need Support: (Optional)

Where did you hear about the 2021 AYEA YO Summit?

What is your shirt size? (Optional)

Do you have any accessibility needs? (fidget toys, earplugs, closed captions, etc.) (Optional)

Do you have any allergies?

Would you like an AYEA staff to follow up on any part of your application?
Would you like an AYEA staff to follow up on any part of your application? is required.

No

Yes (Please Specify) Yes (Please Specify)

What type of contact works best for you?
What type of contact works best for you? is required.

Phone Call

Text Message

Direct Email

Slack Message

Other: Other:

Is there anything else you’d like to share? (Optional)

Your donation will be securely processed.

Thank you for your interest! Applications are due by October 22nd and will be reviewed the following week.

If you have any questions please contact Shanelle Afcan or Marlowe Scully at ayea@akcenter.org.

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