Advocates Program Application

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Submit this application to be on your way to becoming a member of the Advocates program.

Pen Name: *

Pen Name

Name: *

Full name

Age:

Screen Name:

AOL/AIM screen name

Preferred E-mail Address: *

Alternate E-mail Address:

Availability: *

Hours of Availability

Strengths: *

(such as, for example: ability to host a chat room, experience as a teacher/mentor, technical skills)

Interest: *

Why are you interested in being part of the Advocates Program?

Qualities: *

What qualities do you possess that would make you a successful Advocate?

Leadership:

Describe your involvement in activities and organizations, and name any leadership position you have held

Commitment:

Being part of Advocates requires a serious commitment. What activities do you plan on being involved with this year? How do you plan to manage all of your activities?

Special Skills:

Please list any special skills you think might be helpful (For example: experience publishing newsletters, PHP programing, chat hosting).

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