GFAC- High School Application About YouShare some general information about you. Name* First Last Grade:* Date of Birth:* Month Day Year Race/Ethnicity*Please choose one option.African American/BlackAsian/Pacific-IslanderHispanic/LatinoCaucasian/WhiteTwo or more racesDecline to stateSchool:* Email* Enter Email Confirm Email Home Phone Number*Cell Phone NumberText Messages?*We only use text messages to schedule meetings and volunteer events. Please indicate if this is a good method of communication for you. YesNoAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you a returning GFAC, High School Member?* NO YES Previously GFAC Core Committee.About Your Parent or GuardianTell us a little about your Parent or Guardian. Parent or Guardian Full Name* First Last Relation to Parent/GuardianHow are you related to your parent or guardian? IE mother, father, parent, grandparent, legal guradian, etc.MotherFatherLegal GuardianParent/Guardian Phone Number*Parent Email:* Enter Email Confirm Email GFAC High School Committee ExpectationsPlease read each expectation carefully before responding. By responding YES, you are agreeing to participate in each activity. Please respond YES or NO. Contact gfac@allthrive.org with any questions or concerns. I agree to attend weekly meetings throughout the school year. I also understand that I can not miss more than 3 meetings per semester.*I will contribute to conversations and activities during the meeting and be on time for each meeting. Yes No I agree to attend the GFAC annual Summit in February each year.* Yes No I agree to attend occasional volunteer and community events throughout the program dates.* Yes No Agreement* Yes, I understand and agree to each of the terms explained above. GFAC, High School, Short-Answer Questionnaire1. Why do you want to be a GFAC, High School, Participant?*What do you hope to gain from GFAC?2. What kind of change do you wish to see in your community and the world?*3. Is there anything else you'd like us to know about you? IE: hobbies, interests, passions, etc.?*Availability QuestionsTell us a little about your current goals and schedule. 1. What other extracurricular activities do you participate in at school or in the community? IE: sports, music, school clubs, etc.*2. Do you have other regular evening commitments?*3. How do you get around? IE: parents, public transportation, drive yourself, walk,etc.*4. Do you have any dietary restrictions?*Type your name for authorization.* Today's Date* MM slash DD slash YYYY Δ