US Air Force Youth Programs AFTC Representative and Adult Advisor Application
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1 Air Force Teen Council (AFTC) - Teen Representative and Adult Advisor Application Section I: Applicant Criteria and Submission Instructions This form allows teens and advisors to serve on the AFTC. Both teen and advisor must apply together to be considered. The AFTC represents, and works on behalf of, AF youth, teens, and AF leaders on issues and opinions The AFTC receive tasks to collect data or carry out special projects The AFTC briefs AF senior leadership and participates in leadership training workshops throughout their term The AFTC regional representative is expected to participate in the Air Force or Joint Service Teen Council Camp (1-5 Aug 16) and the Winter Leadership Camp (Dates TBA) The AFTC regional representative is expected to participate in monthly phone calls; arranging their schedule to contribute and participate in these forums Air Force Teen Council includes Teens and Advisors from each of the following regions: Pacific: WA, CA, ID, NV, UT, & AZ Mountain: MT, WY, CO, & NM Southwest: KS, OK, AR, & TX Midwest: ND, SD, NE, MO, IL, & OH Northeast: MA, NJ, MD, & DE Southeast: VA, NC, SC, GA, & FL (EST) Southeast Central: AL, MS, LA, & FL (CST) PACAF: Alaska, Japan, & Korea USAFE: Germany, England, & Italy Teens interested in becoming AFTC members must meet and maintain the following criteria: Be an active duty, retired or AF civilian authorized family member assigned to an AF installation Be involved with installation Youth Programs (YP) Have a great attitude, strong interpersonal skills, and be in good standing in the community Maintain minimum GPA of 3.0 (or the equivalent) Be able to fulfill a 2-year term service from July 2016 through July 2018 Be able to work with adults and youth in order to plan and implement activities Possess strong writing and public speaking skills Commit to approximately 3-5 hours per week to AFTC and their Advisor Advisors should meet and maintain the following criteria: Be a full time employee of the Airmen and Family Services Flight Have experience working with teens, Teen Council and/or Keystone Club Each YP should develop a selection process for their regional representative which may consist of such methods as interview, application review matrix, panel selection groups, etc. This application must be completed and forwarded to alysse.seligman@us.af.mil at AFSVA CYP no later than 24 Jun 16. Finalists will potentially participate in telephone interviews to observe speaking ability. Selections will be made no later than 30 Jun 16. Selected Teens are expected to attend the AFTC Summer Camp in San Antonio, TX from 1-5 Aug 16. Page 1 of 5
2 Section II: Teen Representative Application - Due to AFSVA CYP no later than 24 Jun 16 Teen Information (Please type the following) Last Name: First Name: Male: Female: Address: City: State: Zip Code: Date of Birth: Region: Installation: Adult Shirt Size: Grade in Fall of 2016: Cumulative GPA: Sponsor s Status (Check One): Active Duty AF Active Duty assigned to JB Name of High School: Retired AF DoD Civilian-APF/NAF AF Reserve Air National Guard Length of Club Membership: Tentative College Major Choice: Previous AFTC member YES NO Parent/Guardian Information Telephone Interview Name & Phone Numbers Sponsor s Name: Parent/Guardian Name: # #2- Cell: Cell: YOUTH CODE OF ETHICS I will be courteous and respectful towards others. I agree to value and respect others ideas. I will attend and actively participate in all scheduled meetings and conferences. I will conduct myself in a professional manner at all times. I will not use alcohol, tobacco, or drugs as I will be a role model and represent my installation and AF. I will follow guidance provided by all Air Force Youth Programs Staff. Teen Signature: Parent/Guardian Signature: I (we) hereby consent to print / online publication; use of photographs and video; and information contained in this application form by the USAF. To the best of my knowledge all of the information stated herein the entire registration form is true and accurate. Teen Signature: Parent/Guardian Signature: Privacy Act of 1974 Authority: Title 10, United States Code, Section 3013 Principal Purposes (S): To obtain youth and family program eligibility and background information for proper assignment of the individual into Teen Council activities and workshops; to contact participant s home and parents/guardians in the event of an accident or illness; obtain permission to use photographs and video. Routine Uses: Establish communication channels with participants; to mail information of interest to the participants, to contact the youth s parents/guardian relative to the youth s participation in programs. Disclosure: Disclosure of requested information is voluntary. *This applies to all pages in the Air Force Youth Programs nomination package. Page 2 of 5
3 Teen Name: Installation: One Letter of Recommendation will be accepted. Please do not include any other attachments. School: Provide examples of how you have demonstrated school leadership and service (e.g., activities you have engaged in, your diversity, scholastic achievement, and contributions made to school; faculty and peers should be highlighted). Non-School Sponsored Extracurricular and Leadership Activities: Please indicate the activities and leadership position(s) you have actively participated in or held outside of school (e.g., sport teams, clubs, youth programs, scouts, church) during the past 12 months (include dates and achievements/awards earned and the number of hours of participation). Home and Family: Provide examples of how you have demonstrated leadership and service in the home and family. Honors and Awards: List honors/awards/scholarships (e.g., Eagle Scout, Gold Award, Church, School) and the year(s) received. Service to Club & Community: List service projects that you have actively participated in your community during the last 24 months. Page 3 of 5
4 Teen Name: Installation: Essays: In your own words, in the space provided, please type a short essay on the following topics: Why are programs for youth/teens important to you? What new programs would you like to implement during your 2 year tenure as the Regional Air Force Teen Council Representative for your Region? List at least 4 new programs. How will you increase teen membership for your teen center and Air Force Teen Council? List at least 4 ideas to implement in the next 2 years to increase membership. Page 4 of 5
5 Section III: Adult Advisor Application - Due to AFSVA CYP no later than 24 Jun 16 Advisor Information (Please type the following) Last Name: First Name: Male: Female: Position/Grade: Region: Installation: Adult Shirt Size: What qualities or characteristics do you feel you have that will enable you to be an effective advisor? What has made your Teen Council successful? Describe your experience in using Technology to reach youth/teens How would you describe yourself? Section IV: Verification and Selection - Due to AFSVA CYP no later than 24 Jun 16 Youth Programs Directors should serve as Verification Officials. Please conduct a final verification of the youth/teen's eligibility for participation in the AFTC and accuracy of Advisor application. It is recommended to use the ID card when available, to verify eligibility. I confirm that is eligible through his/her affiliation with the Air Force. After review of abilities and capacity, I recommended him/her for the position of Regional Teen Council Representative. I confirm that is eligible through his/her affiliation with the Air Force. After reviewing their abilities, I recommended him/her for the position of Regional Teen Council Advisor. Comments: FLIGHT CHIEF or YOUTH DIRECTOR DIGITAL SIGNATURE Page 5 of 5
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