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Trailblazers Application Form

Trailblazers Application

Name(Required)
MM slash DD slash YYYY
Grade in school for 2023-2024 academic year(Required)
Address(Required)
How did you hear about this program?(Required)
Shirt size (adult sizes)(Required)
Preferred shirt cut(Required)
Students that are selected to be a Trailblazer will be required to pay a $100 program fee. The Phoenix Zoo strives to ensure equitable access to its youth engagement programs and limited scholarships are available. Individual responses to the following optional prompts are held confidential and used only to help us when applying for funding from community organizations and donors.
Please select the option that best fits your situation:
Please select the option that best fits your situation:

Primary Legal Guardian Information

Name(Required)
Address(Required)

Additional Legal Guardian Information

Name
Address

Self Evaluation

How comfortable are you speaking in front of groups of people?(Required)
How comfortable are you with working in a team?(Required)
Choose the one that best describes your approach to a challenge:(Required)
Please rate the following statements on a scale of 1 to 5, where 1 represents "Strongly Disagree" and 5 represents "Strongly Agree"
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree

Short-Response Questions

Confirmation

I understand and agree that submitting this form does not automatically grant me a position in this program. I understand that there are certain qualifications I must meet, including fully answering the application questions on this form, completing a reference review, attending an interview (if invited), and agreeing to abide by established program policies and procedures.

I understand that it is my responsibility to find someone to serve as my reference and to provide them with the link to the reference form. I understand that my reference must independently complete and submit the reference form and that my application will not be considered complete without it. I am aware that there are resources to help me with this task on the website.

I have reviewed and understand the time commitments of this program and am able to commit myself to attending all required meetings.

By submitting this form, I attest that the information I have provided is true and accurate. I attest that I answered the questions to the best of my ability.
Virtual signature(Required)
MM slash DD slash YYYY
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Phoenix Zoo

455 North Galvin Parkway

Phoenix, AZ 85008

602.286.3800

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