WANT TO GIVE OUT $$ TO YOUTH-LED COMMUNITY PROJECTS?MAKE CHANGE HAPPEN IN DAVIE COUNTY? LEARN IMPORTANT SKILLS?

APPLY for the 2016-2017 SURF BOARD!

WHAT IS THE SURF BOARD?SURF (Students Understanding Real Futures) is an exciting opportunity for Davie County youth. In this project, youth-led groups can apply for money and assistance to create youth-directed projects in Davie County. What is really unique about the SURF Board is that youth make the decisions about which groups get money for their ideas. In prior years, the SURF Board granted funds to:

DHS STEM Ambassadors – “Birthdays in a Box” to be distributed thru A Storehouse for Jesus

Davie County 4-H – Clover Club – to purchase puppet show supplies for the club to provide shows for pre-school and elementary students

Davie County 4-H – Wardrobe Warriors - to purchase stylish teen clothes that were donated to A Storehouse for Jesus to be distributed to teens in need

Davie High Hunger Fighters – Stockings for School – to purchase school supplies to help replenish supplies for DHS students in need

Davie High Odyssey of the Mind - registration fees for Odyssey World Finals competition. Cooleemee First Baptist Youth – Clothing closet and soup kitchen North Davie Middle School Beta Club - build a low ropes course Tri-M Music Honors Society – host a Battle of the Bands Fellowship of Christian Athletes – host a Praise Fest Funds and input to the YMCA to create a teen room and job training program. Davie High Leadership Development Class - Diversity Lunch for students of different ages,

races, stereotypical cliques, religion, and ethnicities are invited to attend

WHO CAN SERVE ON THE SURF BOARD?Young people (high school students) who live in Davie County and attend a school program.

WHAT’S THE TIME COMMITMENT?One regular weekday meeting per month from August to June, a few Saturday trainings, and a retreat in the summer. There will also be some independent work between meetings.

QUESTIONS?Call Tami Daniel at 336-918-5226 or email tdaniel@daviefoundation.org

RETURN APPLICATIONS TO: Email completed application to tdaniel@daviefoundation.org or print and hand deliver to: Davie Community Foundation, Inc. 107 N Salisbury Street, Mocksville, NC 27028.

SURF BOARD 2016-17 APPLICATION

Application Due Friday, May 20, 2016(Interviews will be scheduled for June 6th)

DIRECTIONS FOR APPLYING Please fill in this form after saving to your computer. Note: document does not work with an iPad

or Smart phone. If you are unable to click the check boxes with your system, please fill in the information in the adjacent text boxes available after each check box question.

Make sure this application is complete and includes:

o Answers to all questions

o All the general information must be filled or it will be rejected. Note the check boxes.

Fill out the application as best as you can. If you have any questions or would like assistance,

please contact Tami Daniel at 918-5226 or tdaniel@daviefoundation.org.

All applicants will be interviewed as part of the application process. Interviews are June 6st.

Sign, upload and email completed application to tdaniel@daviefoundation.org or print completed

application and physically return to Davie Community Foundation, 107 N Salisbury Street, Mocksville, NC 27028 (9-5, Monday – Thursday). Do not use snail mail.

Name: Click here to enter text.

Address: Click here to enter text.

City, State, Zip: Click here to enter text.

Phone - Home: Click here to enter text. Cell: Click here to enter text.

School Attending: Click here to enter text.

Email Address: Click here to enter text.

Age: Click here to enter text. Gender: ☐Male ☐Female Click here to enter text.

Ethnicity (optional): If unable to check a box and wish to answer, enter in “other” text box.☐African American ☐Asian/Pacific Islander ☐Latino☐Native American ☐White/Caucasian ☐Multi-EthnicOther: Click here to enter text.

Grade in Fall 2016: ☐Freshman ☐Sophomore ☐Junior ☐Senior Click here to enter text.

Please list school or other activities you are involved in now:

1. Click here to enter text. 2. Click here to enter text.

3. Click here to enter text.

4. Click here to enter text.

Most SURF Board communications take place over e-mail. Do you have access to e-mail? ☐Yes ☐No Click here to enter text. Can you check it weekly? ☐Yes ☐No Click here to enter text.

Parent or Guardian Name:Click here to enter text.

Home Phone Number:Click here to enter text. Work Phone Number: Click here to enter text.

DISCUSSION QUESTIONSTo be considered you must answer all of the discussion questions.

1. Why do you want to be part of the SURF Board? Click here to enter text.

2. What can you contribute to SURF Board? What previous activities have you done to help the community? Click here to enter text.

3. How did you hear about SURF Board? Click here to enter text.

4. What do you see as a prominent issue facing youth in the community? What would you do to change it? Click here to enter text.

SIGNATURE:Please print the document and have parent sign for permission supporting your application for SURF Grantmaking Board:

Signature Date

Printed Name