Download Forms and Applications
If you have questions, comments or concerns regarding any of the applications or forms that are
available for download, please contact, Brandi Nicole Johnson, NCCJ Program Associate at 336-272-0359.
NCCJ Youth Ambassador Program
In an effort to engage more youth in the facilitation process of our programs, NCCJ of the Piedmont Triad has created the NCCJ Youth Ambassador Program. An NCCJ Youth Ambassador is a leader who is an advocate for change. This person models NCCJ’s mission to fight bias, bigotry and racism. NCCJ Youth Ambassadors will be involved in with NCCJ year-round by participating in leadership training and facilitating NCCJ programs like the Youth Leadership Conference, ANYTOWN and Leaders for Tomorrow.
Ambassador Program Eligibility Requirements: You must be an ANYTOWN Graduate and you must not have graduated from high school. We are not accepting Youth Ambassador applications at this time. The application process will re-open August 2010.
ANYTOWN Delegate Application
Delegate applications will be accepted until both ANYTOWN sessions are filled.
ANYTOWN Delegates should be rising juniors or seniors and must be residents of Guilford County. To apply to become an ANYTOWN Delegate, please click here to download the Delegate application.
Financial assistance is available. Please click here for the ANYTOWN financial aid form.
ANYTOWN Staff Application(s)
The application deadline for all ANYTOWN Staff applications is March 31, 2010.
ANYTOWN Counselor Eligibility Requirements: You must be an ANYTOWN Graduate and you must be a college-aged (between the ages of 17-21) student. To apply to become an ANYTOWN Counselor, please click here to download the Counselor Application.
ANYTOWN Advisor Eligibility Requirements: You must be at least 21 years of age. To apply to become an ANYTOWN Advisor, please click here to download the Advisor Application.