SpokesModel Application

Share on your favorite social networks!

 

To be considered for this special opportunity as a Senior SpokesModel for your school – please go to our Facebook page and click the “Like” button at the top of the page.

Next, fill out the form (below). No obligation! Filling out the form does not require you to be a SpokesModel. It simply allows us to send you more information to review with your parents before making a decision.

    *SpokesModel Candidate's Name

    *SpokesModel Candidate's School

    SpokesModel Candidate's Graduation Year

    *SpokesModel Candidate's Phone

    *SpokesModel Candidate's E-mail

    *Parent or Guardian's Name

    *Parent or Guardian's Phone

    *Parent or Guardian's Email

    *How did you hear about our SpokesModel Program?

    *List your school activities

    *List your non-school activities (volunteer in the community, like to ski, hobbies, etc.)

    *Why would you be a good SpokesModel?