Wickham Avenue Alliance Youth Leadership Program Application Leave this field blank Applicant's Name Date Of Birth: Age: Street Address: City: Zip Code Home Phone: (optional) Cell Phone: (optional) Name Of Parent/Guardian Home Phone: Cell Phone: Work Phone: Email: School Attending Now: School Attending In Fall 2022: Method of Transporation: Please Indicate car, bike, skateboard, walk, bus or other Location Preference: We will do our best to place you in the location(s) you request,but positions are limited and we may only able to offer you a position at an alternate location.Please rank the sites below according to your preference: (choose First 1,Second 2,Third 3 and Fourth 4 and so one) First (1) Second (2) Third (3) Fourth (4) Fifth (5) Pearl Bailey Library First (1) Second (2) Third (3) Fourth (4) Fifth (5) Doris Miller Community Center First (1) Second (2) Third (3) Fourth (4) Fifth (5) Downing Gross Cultural Arts Center First (1) Second (2) Third (3) Fourth (4) Fifth (5) Boys And Girls Club- Hampton- Greater Hampton Roads Units First (1) Second (2) Third (3) Fourth (4) Fifth (5) C. Waldo Scott Center First (1) Second (2) Third (3) Fourth (4) Fifth (5) What Size Tee Shirt Will You Need For This Program? Choose One S M L XL XXL XXXL Volunteer Experience: Do You Have Any Volunteer Experience? Yes No Location: Date: Describe Your Experience: Briefly Describe Why You Would Like To Participate in The WAA 'S Youth Leadership Service Learning Program Send