At this time, the application does not allow you to save and come back. It must all be completed at one time. First Name * Last Name * Street Address * City * State * MI Zip Code * Birthdate * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year200220032004200520062007200820092010201120122013201420152016201720182019202020212022 Year Home Phone * Cell Phone * E-mail * Parent/Guardian Name * Parent/Guardian Cell Phone * Parent/Guardian E-Mail * School * Graduation Year * What is your favorite school subject and why? * What extra curricular/after-school activities do you participate in? * What is your favorite extra curricular/after-school activity and why? * T.E.A.M. meets monthly during the school year. One of the responsibilities of being on the T.E.A.M. is attending the meetings. Will you be able to attend monthly meeting? * In your own words, explain why you would be a good T.E.A.M. member? * In your opinion, what is the most critical issue facing youth today and why? * Leave this field blank CAPTCHA This question is for testing whether you are a human visitor and to prevent automated spam submissions. Submit
