Youth Advisory Board

Membership Information

• Choose the location at which you are a member TampaRiverviewBrandonRuskinTemple TerracePlant CityLakeland - Lakeland HillsLakeland - Drane Field
  OK Choose the location at which you are a member is required

• Credit Union Member

  • No
  • Yes
  OK Credit Union Member is required

Personal Information

• Full Name
  OK Full Name is required
• Street Address
  OK Street Address is required
• City
  OK City is required
• State AK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDC - District of ColumbiaDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNJ - New JerseyNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - Wyoming
  OK State is required
• Zip Code
  OK Zip Code is required
• Phone
  OK Phone is required
• E-mail
  OK E-mail is required
• Date of Birth
  OK Date of Birth is required
• Parents Names (First and Last)
  OK Parents Names (First and Last) is required

• Are you employed?

  • No
  • Yes
  OK Are you employed? is required
• If yes, where?
  Optional OK If yes, where? is required

Academic Information

• Are you a High School graduate?

  • No
  • Yes
  OK Are you a High School graduate? is required
• Name of High School
  OK Name of High School is required

• Are you attending University/College/Trade School?

  • No
  • Yes
  OK Are you attending University/College/Trade School? is required
• Name of College
  OK Name of College is required

Activities/Awards

• Tell us about yourself
  OK Tell us about yourself is required

YA Board Questions

• Why do you want to be part of the YA Board?
  OK Why do you want to be part of the YA Board? is required
• What is one personal financial goal you have for the year?
  OK What is one personal financial goal you have for the year? is required

By typing my name below, I hereby certify that the information in this application is complete and is correct to the best of my knowledge.

• Electronic Signature
  OK Electronic Signature is required
• Date
  OK Date is required
• OK is required