Blair Holt Memorial Foundation.org

Why Should You Be A Youth Educator For The Peace Alliance?

• Build on experiences you had with other youth groups!
• Meet other passionate powerful youth from across Chicago and work on issues you care about!!
• Becoming Political aware of different social issues
• Being apart of a City and State wide Movement!

 What Is The Blair Holt Peace Alliance About?

• Support Groug 12-24 year olds affected by violence
• Support common sense gun control
• Mentoring
• Conflict Resolution
• Coordination of Marches and Rallies
• Prayer Vigils
• Gun violence Workshops

If you are interested in becoming a YOUTH EDUCATOR, contact or fill out an application, to Youth Educator Directors

Camiella Williams at cwilliams@blairholtmemorialfoundation.org; 773.430.6951

Christine Googins at Cgoogins@blairholtmemorialfoundation.org; 773.563.0245

                       Youth Educator - Membership Application

Name:                                                                                                                                                                         

School:                                                                                         Grade:                                                           

Home Address:                                                                                   Apt:                                                    

City:                                                           State:                    Zipcode:                                                          

Phone:                                  Email:                                                                                                                   

Alternate Phone (Cell, Work, Etc):                                                                                                              

Gender: Male or Female

Please describe your race/ethnicity ( Optional)

 What neighborhood do you consider home?

 Why do you want to be a member of the Peace Alliance?

                                List two Professional References

Name:                                                                                                                         

Phone Nunber:                                                                                                            

Years Known:                                                                                                              

Name:                                                                                                                                   

Phone Number:                                                                                                                               

Years Known: