Apply

Apply to be an a10d Youth Advisor

Welcome to the a10d Youth Advisor application! We’re so happy you’re interested in joining. The application includes two sections of questions:

1. Questions about you (important contact info).
2. Questions about how you think and share your ideas.

* Indicates required question

Section 1: About You

• Email *
  Your email

• Name *
  First and last name
  Your answer

• Preferred first name
  Optional—If there's a different first name you'd prefer we use.
  Your answer

• Which pronouns do you prefer?

  • she/her/hers
  • he/him/his
  • they/them
  • Other:

• Which a10d Advisor age group are you applying for? *

  • Tweens (ages 10-12)
  • Teens (ages 13-15)
  • Mentors (ages 16-18)

• In what city and state do you live? *
  Example: Amherst, Massachusetts
  Your answer

• In what month were you born? *
  Choose

  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December

• In what year were you born? *
  Choose

  • 2008
  • 2009
  • 2010
  • 2011
  • 2012
  • 2013
  • 2014
  • 2015
  • 2016

• What is an email address we can use to reach you? *
  Please double check it's correct. TY!
  Your answer

• What is a mobile phone number at which you could receive texts each week from a10d? *
  Your answer

• What is the full name of a parent or guardian of yours who we can contact? *
  Please write first and last name.
  Your answer

• What is an email address we can use to reach a parent or guardian? *
  Please make sure it's correct. TY!
  Your answer

• What is a mobile phone number at which we could reach your parent or guardian? *
  Your answer