Join the Youth Advisory Council

Name:

Age:

Birthday:

Phone:

Your Email:

Address:

Why do you want to join the Youth Advisory Council (YAC)?

What interests and activities fill your leisure time?

Are you willing to commit 1-2 hours per week to volunteer with the Youth Advisory Council?
Yes
No

Which day of the week are you available? Please check all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday

Please provide the name and phone number of two adults (for example a friend, employer, teacher, mentor) who know you well enough to tell us more about you.

Is there anything else you’d like to tell us about yourself?