Please provide your home or voting address.
Date of Birth
Date Format: MM slash DD slash YYYY
Parent or Legal Guardian's Information (if under age 18)
Why are you passionate about ensuring access to high-quality early learning for every U.S. child?
Why are you passionate about helping children suffering from poverty and violence around the world?
Have you ever participated in any advocacy, community, or volunteer work? If so, please describe.
What do you hope to learn or what skills do you hope to gain from attending the 2020 Advocacy Summit?
How do you see yourself implementing the knowledge and skills learned at the Advocacy Summit at your school?
Students who attend the Advocacy Summit and attend school in one of these states (CO, IA, IL, LA, NH, NM, RI, SC, TN, VT, WA) will be expected to become involved in SCAN’s Student Ambassador Program, a network of high school and college students around the country working on local and national advocacy efforts to promote issues affecting kids. If chosen to attend, will you commit to participating in the Student Ambassador Program for at least one year?
If you cannot commit to participating in the Student Ambassador Program, why not?