Teen Advisory Board Application

	* Required Fields
Full Name*
Home Address*
City*
State*
Zip*	Phone *
College Address
City
State
Zip	Phone
Email Address*
Fax (if applicable)
Age*	14151617181920 Gender*
Ethnicity
Church Name*
Hobbies/Interests*
How long have you been a devozine reader?*
Why are you interested in serving on the Teen Advisory Board?*
What do you think you might contribute to devozine as a Teen Advisory Board Member?*