GNCA Youth Volunteer Association (YVA) Application Form – Greater Nashville Chinese Association

Please note that the information on this form is for the use the Youth Volunteer Association (YVA) only and is not available to any other individuals or groups. This means that we will not disclose your e-mail address, mobile number or any other details to another individual without your permission.

Youth Applicant Information:

Your Name (required)

Home Address (required)

School Name (required)

School Address (required)

Grade Level (required)

Family Contact Information

Parent/Guardian 1 Name (required)

Parent/Guardian 1 Email (required)

Parent/Guardian 1 Telephone (required)

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Parent/Guardian 2 Telephone

Emergency contact Name

Emergency contact Email

Emergency contact Telephone

Areas of Interest in YVA

First Choice (required)

Second Choice

First Choice

Area of Interests in YVA (can choose multiple interests)

Other Interests (Optional)

Member Only

Extracurricular and Volunteer Activities – Please describe any extracurricular activities that you are involved with and what they mean to you. Examples of extracurricular activities are school clubs, sports teams, youth organizations, and community service activities. Please also include how you have been involved and for how long.

Extracurricular and Volunteer Activity 1

Extracurricular and Volunteer Activity 2

Extracurricular and Volunteer Activity 3

Extracurricular and Volunteer Activity 4

Extracurricular and Volunteer Activity 5

Personal Statement- Explain your choice of leadership position(s). Please focus the explanation on your first preference and addressing the following questions as well. Your explanation will be reviewed as part of your application and considered during the selection process. Write your response in clear English and in your own words. Your answer should not exceed 300 words.

Why do you want to participate in YVA, and what will you contribute if you are chosen?
What makes you a good leader? Using two examples, describe how you are a leader in your school, community and/or home.
Do you have an idea for a possible project that would positively impact the Chinese/local communities?

I certify that the information contained in this application, including all attachments and supporting credentials, is complete and correct.

Signature (Please type your name)