Personal Information

Name (required)

Address

City

State
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Zip

Date of Birth

Home Phone

Cell Phone

Your Email (required)

Mode of Transportation (check all that apply)
 My Car Parent/Guardian Need Transportation

Membership

Are you a member of Georgia's Own Credit Union?
 yes no

Are you willing and able to be a member* of Georgia’s Own Credit Union if you are selected as a member of the Youth Advisory Board?
 yes no

Educational Information

Current School Name

Year of High School Graduation

Essays
Essays – Please keep each answer to a maximum of 100 words.

Why do you want to be a member of GOCU’s Youth Advisory Board?

Tell us about you: activities, special awards, leadership experience, future goals, etc.

Short Answer

How did you hear about the Youth Advisory Board at GOCU?

Are you currently employed (include baby-sitting, lawn care, etc.)?

Best time to meet (List the days and times you are available)?

References
Please attach at least one letter of reference from someone other than a relative.

Schedule of Deadlines and Notification
Application deadline is September 30, 2011. All materials must be at Georgia’s Own Credit Union by 5:00 p.m. on September 30, 2011. No late submissions will be accepted.