Role Model Application

If you are chosen to join the 2023 Role Model team a contract will be sent to you via email on February 6th!

First Name

Last Name

Phone

Name of High School:

Birthday:

Instagram:

Facebook:

Preferred Method of Contact

Radio Description

What does it mean to you to 'give back'?

What are you passionate about?

What are your extracurricular activities?

What does the word EMPATHY mean to you?

Why do YOU want to be a 2023 ROLEmodel with Jessica?

Are you available to travel in July 12th-15th?

(dates subject to change due to sport camps)

Does your parent/gaurdian know you are applying to be a 2023 ROLEmodel?

Parents Full Name:

Parents Email:

Parents Phone:

T-Shirt Size

Unisex Fit

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Yay!!

Hey there! THANK YOU so much for applying to be a 2022 ROLEmodel!! I will be going over applications soon and will be in touch!

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