Sie sind auf Seite 1von 2

Dear Applicants:

The Generation Now Leadership Board Would Like To Thank You For Your Interest In Joining Our
Board. Generation Now Is A Youth Leadership Board Made For And Led By Current Foster Care Youth And
Foster Care Alumni Of Central Indiana. Generation Now Is Dedicated To Helping Young People In Foster
Care And Those Who Have Transitioned Out Of Care Become Self-Sufficient. Generation Now Advocates
On Behalf Of Current And Former Foster Youth In Key Areas Such As:

Child Welfare Policies

Health Care

Mental Health




Financial Literacy

In Order To Be Considered The Applicant Must Complete And Submit The Application, Including The
Required Signatures.


The Executive Officers of Generation Now

Applications Can Be Submitted To: Generation Now C/O Cby25

227 Hendricks Place

Indianapolis, IN 46201
Or Fax To (317) 921-1254
Like Us On Facebook: www.Facebook.Com/GenerationNowYLB

Applicant Information
Type directly on the form, save, and email to
If Questions Do Not Apply To You Put N/A (Not Applicable) In The Space Provided.

Name (First, Middle, Last): ______________________________________________

Please CKHFN One Of The Following: Male


Birth Date (Month/Day/Year): _____ / _____ / _____

Address: _____________________________________________________________
City: ___________________________State: __________________Zip Code: _____
County Of Residence: __________________________________________________
Home Phone: _______________

Cell: _______________

Email: _______________________________________________________________
Facebook: ___________________________________________________________
Twitter: ______________________________________________________________
Allergies: ____________________________________________________________
Emergency Health Conditions: ___________________________________________
Emergency Contact
Name: __________________________________ Relationship: ________________
Address: __________________________________ City, State: _________________
Home Phone: _______________

Cell: _______________

Email: _______________________________________________________________

Date Application Submitted (Month/ Day/ Year): ____ / ____ / ____