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Youth Board Application CONSENT AND RELEASE FORM Medical and Recorded Images

I agree to relinquish to must! charities (hereafter must!), all rights, title, and interest that I may have in the finished recording, reproduction, and copies of the original video and/or audio recording(s); or, in the prints, negatives, reproductions, and copies of the original photographs(s) and negative(s).

I also irrevocably grant to must! permission to put any of all recording and photographs to any legitimate uses must! may deem proper including the right to use for purposes of advertising and trade.

I do hereby give my consent allowing my child to participate in must! youth board activities. Furthermore, the must! staff supervising these activities may act in my stead, including authorizing medical treatment for my child. I will not hold must! or its staff fiscally or legally responsible for injuries or damages incurred during these activities and waive all rights to legal redress.

If you are under 18 years of age, please have this form signed by your parent(s) or your legal guardian.

Student Name School/ AND Graduation year

Student Email Student Preferred Phone

Student Street Address City, State, Zip

Student Birthdate

Parent/Guardian Name Parent/Guardian Phone

Parent/Guardian Email Parent/Guardian Signature and Date

Conditions, allergies, other concerns we should know: Student Signature and Date

Questions? Please Contact: Becky Gray, Executive Director 805-226-5788 becky@mustcharities.org 212 S. Main Street #205 Templeton, CA 93465

• Applications are accepted prior to September 20th. • Once a completed application is turned into

the must! office, an email will be sent to the Student confirming receipt of their application.

• Further instructions will be provided by email, with the first meeting.

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Youth Board

Application

What it takes to be a Youth Board Member: Youth Board members are high school students (Sophomore through Senior) who are interested in becoming more involved in their school and community. Through participation on the board, students learn about many different organizations that exist with the help of the must! charities. Board members bring back to their school peers and community organizations information they learn through the various volunteer projects and other opportunities for youth.

Youth Board Mission Statement: (Our mission statement will be voted on at our first meeting in September 2015)

Responsibilities of a Youth Board Member: (Please initial next to each responsibility)

Attend meetings on the 2nd Sunday of each month from 6:30-7:30 PM.

Attend and actively participate in volunteer service projects in the “off” meeting months.

Email, text, Facebook, or call if I must miss a meeting for an excused reason such as an illness, extracurricular activity, school event, or family function.

Commit to not miss more than 4 meetings/volunteer activities per year (there are 9 total).

Serve in a liaison role to their respective schools by recruiting new Youth Board members for upcoming years.

Do my best to fulfill the responsibilities and expectations of an active Youth Board Member.

I have read and understand the must! youth board description.

I understand that sometimes I might be exposed to confidential information whether when out volunteering or in a presentation of information given to me as a must! youth board member, and I will keep that confidential information to myself if asked.

Student Signature Date

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  Please answer these questions in a way that reflects your character which helps us better understand you. You can hand write or type your answers.

1. How did you learn about the must! charities youth board and why are you interested in joining?

2. What do you hope to gain from your involvement on the Youth Board?

3. What are some of your ideas? Your answers will help us plan activities and projects for the year.

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  4. What community volunteer service projects would you like to help with?

5. What activities would you like to do at the Youth Board meetings? Some examples could be speakers, games, ice breakers. Please be specific.

6. What topics would you like to learn more about at the Youth Board meetings? Some examples

could be homelessness, diversity, service learning, etc. 7. What talents and strengths can you share with the community through your involvement on the Youth Board?

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  8. Please list your past and current involvement in Community Service/Volunteer Projects.

  9. What are your commitments during the week and on weekends (sports, choir/band, extra-curricular, work,

etc.)?

10. If you took a stab at the mission statement for the must! youth board, what would it be? 11. Anything else you think I should know about you, or information about you that wasn’t asked in the above

questions?

** Please submit a letter of recommendation with your application from a teacher, administrator, coach, or other professional adult you work or volunteer with.

Please feel free to either mail, fax or email your completed application to the contact listed on Page 1. Thank you for your interest in the must! charities youth board!