Coalition for a Tobacco-Free Hawaii Youth Council application form
To be eligible you must be a student in middle, high school or college and be willing to meet the expectations listed at hiphi.org/youth. Applications are accepted year-round. Your personal contact information will only be used to communicate with you regarding Youth Council activities and advocacy efforts.  
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First Name *
Last Name *
Email (Note: Some School Email Accounts Block Emails From Outside Sources) *
Cell Phone Number (By submitting this you give approval to HIPHI to contact you via text message)
Street Address *
City *
Zip Code *
School *
Graduation Year *
Why are you interested in being part of the Youth Council? *
What other activities are you involved with?
Shirt Size (Adult)
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