2025 Student Leadership Council Application

If you require a reasonable accommodation, please contact Issi Gomez Muniz by email at igomez@pwcgov.org or by phone at 703-792-4680.

1. First and Last Name: *This question is required.

2. Address: *This question is required.

3. Phone Number: *This question is required.

4. Email: *This question is required.

5. Parent/Guardian's Name: *This question is required.

6. Parent/Guardian's Phone Number: *This question is required.

7. Parent/Guardian's Email Address: *This question is required.

8. Best time of day to contact Parent/Guardian: *This question is required.

9. School: *This question is required.

10. Grade Entering: *This question is required.

11. How did you hear about the Prince William Human Rights Student Leadership Council? *This question is required.

Please enter an 'other' value for this selection.

12. Provide a list of activities, school-related or otherwise, that you are currently involved in. Include leadership positions held, if any: *This question is required.

13. Why do you want to serve on the Prince Willian Human Rights Student Leadership Council? *This question is required.

14. What is a current civil rights, human rights, or diversity issue in local or national news that is of concern to you? Provide an example of a creative way to address and bring awareness to this issue in your school or community. *This question is required.

15.

There are five areas of engagement for Prince William Human Rights Student Leadership Council activities:

Projects: Implementing human and civil rights projects in the community.
Partnerships: Collaborating with other organizations to raise community awareness about human and civil rights issues.
Events: Working with the Prince William community to promote human rights awareness and diversity. Assisting the Human Rights Commission with its annual Universal Human Rights Day, and annual presentation of the EEOC Youth at Work workshop.
Public Speaking/Outreach: Sharing unique experiences and promoting diversity through conferences, public events, small group discussions, online interactions, and a variety of other events and media.
Publications: Spreading the message of the student council and the Human Rights Commission via written content.

Please describe any experience you have in one or more of these areas. (Max: 350 word count)

*This question is required.

16.

What do you hope to gain from your experiences while with the Prince William Human Rights Leadership Council? (Max: 350 word count)

*This question is required.

17. Please upload a recent, high-quality headshot that clearly shows your face.

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