2023- 2024 New Youth Conservationists Application Form

Christodora's 2023- 2024 New Youth Conservationists (NYC) is open to middle and high school students who are residents of New York City.

Program Information

Program Year

Program Term

Student Info:

Student First Name

Student Last Name

Age

Birthdate

Gender (Check One)

MaleFemaleOther

School Name

Current Grade

What is the program that helped you apply?(Partnering Program Name)

Student Email

Student Cell Phone

Home Address

Home Address

City

State

Zip Code

PRIMARY Guardian/Parent Info:

Primary Legal Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Home Phone

Parent/Guardian Cell Phone

Parent/Guardian Work Phone

Language(s) Spoken by Parent/Guardian

Optional:

You most identify with (check all that apply):

African American/Black (including Africa & Caribbean)Hispanic/Latino (including Spain)White (including Middle Eastern)Asian (including Indian subcontinent & Philippines)Native American (including all Original Peoples of the Americas, HI, or AK)Other

How did you hear about Christodora? (Please check all that apply)

Winter Ecology Program (educators were directly in your classroom during the school year)3-day Field Trip to the Manice Education Center with your schoolSummer Camp Session at Manice Education CenterSummer Ecology ProgramRecruitment event or camp fairOnline/social media searchFriend, family member, or educator told you about it. If so, please list their full name(s) below:

Please answer the following questions:

Why do you want to join the New Youth Conservationists? What would you like to accomplish by participating in this program?

Have you worked in a group before? What excites you about group activities?

To respect each groups progress and to get most out of this experience, we expect registered participants to commit to attending to each of the following 2024 Tentative Saturdays: 3/02- 06/15. *Schedule TBD* Can you attend each of these Saturdays? If not, which Saturdays and why?

Please review your application before submitting your form.

If you have any questions please contact the Admissions Team at 347-468-2878 or Admissions@christodora.org

Contact Information