Health Action Team Interest Form

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We want to know your interests so we can make fun things happen at the library.
We are taking applications for the new school year. The project starts on September 10th, 2022.

Questions?
Email Heather Severson (heather.severson@pima.gov) or Matt Landon (matt.landon@pima.gov),
Librarians at the Woods Memorial Library.

What is your full name? *

Preferred email address: *

Preferred phone number, with area code: *

What is your nickname or preferred first name?

What grade are you entering in Fall 2022? *

Are you age 14 or older? *

Yes

Required

What pronouns should we use for you?

How did you hear about the Health Action Team?

Tell us a little bit about yourself. Why do you want to be a part of the Youth Health Action Team?

What personal qualities or experience do you bring to the team?

What projects are you interested in? Check all that apply.

Photo and video journalism

Podcasting and conversations

Social media advocacy

Book trailers and short films

Zine making and low-tech media

Creative non-fiction

Letters to the editor: advocacy in writing

Poetry

Fiction

Art

Photography

Infographics, comic, and graphic art

Digital storytelling

2-D and 3-D design

Will you be able to make it to Woods Memorial Library, 3455 N. First Ave, Wednesdays afterschool and Saturdays 2-5pm this school year?

Yes

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