Iowa National Guard | Child & Youth Program

State Teen Panel - Member Application

Complete the eligibility check first, then fill out the application below. This page is designed for teens ages 13-17.

Printable Packet

Prefer a fillable PDF?

Download the State Teen Panel application packet if you want to print it out or complete it offline before submitting online.

Download fillable PDF

Quick Check

Are you eligible?

I am between 13 and 17 years old

I am a military-connected youth (dependent, sibling, or stepchild of an Army National Guard Service Member)

I am able to commit to events and meetings throughout the year

Application Form

Tell us about yourself

All required fields are marked in the form. Please answer the application questions with as much detail as you can.

Section I - About You

Full Name (required)

Age (required)

Graduation Year (required)

Gender (optional)

T-Shirt Size (required)

Mailing Address (required)

City (required)

ZIP (required)

Cell # (required)

Email (required)

Preferred Contact Method (optional)

Section II - Parent / Guardian

Parent/Guardian Name (required)

Relationship to Applicant (required)

Cell Phone (required)

Work Phone (optional)

Email (required)

Parent/Guardian Name 2 (optional)

Cell Phone 2 (optional)

Email 2 (optional)

Section III - Your Application

Answer each question in your own words. Each response box is intentionally large so you have room to explain.

1. What has your experience as a military-connected youth been like? Share what's shaped you.

2. Who's a leader you look up to, and what makes them stand out to you?

3. If you could dream about the impact of this program, what do you picture?

4. What qualities do you think a good role model should have - and which of those do you already bring?

5. Life gets busy! How do you plan to balance STP with school, sports, and everything else you've got going on?

Section IV - Acknowledgements

Parent/Guardian Permission: I support my child's participation in the Iowa National Guard Child & Youth Program State Teen Panel. I am willing to assist with transportation or ensure they can fulfill all responsibilities. I hold the Iowa Youth Program, its contractors, the Iowa National Guard, and program volunteers harmless from injury or death that may occur as a result of participation.

Applicant Pledge: As a military-connected youth, I believe in the Child & Youth Program's mission. I pledge to do my best as a State Teen Panel member - showing up, speaking up for my peers, and growing as a leader. I understand that missing required meetings may result in dismissal from the panel.

By checking these boxes you are providing your digital acknowledgement in place of a handwritten signature.

Required fields must be complete before submission.