VOICE Interest Form & Monthly Mingle Night RSVP
VOICE is an Indiana state-wide empowerment brand and program for youth ages 13-18 whose initiative is to engage, educate, and empower youth to promote and celebrate tobacco-free lifestyles. Our mission is to engage, educate, and empower young people as leaders and advocates in their communities through sustained youth-adult partnerships, positive youth development, and public health advocacy training.

We are currently looking for youth between the ages of 13-18 to join VOICE as core team leaders or action squad members! To learn more about VOICE, what level of involvement is needed for leaders vs. members, and more join us on Zoom on

January 12th from 7pm-8pm
February 16th from 7pm-8pm
March 16th from 7pm-8pm
April 13th from 7pm-8pm
May TBD
June TBD
July TBD

for virtual coffee! Can't make it but want to learn more? Email Emily at emily.carpenter1@valpo.edu or say that you want more information in the "Questions" box at the bottom of the form!

Sign in to Google to save your progress. Learn more
Email *
What is your name? *
Which option best represents you in the community? *
If you are a student what school do you attend?
Age
Grade
Clear selection
What is the best way to get ahold of you? *
Please list your contact information for the best way to get a hold of you (i.e. if you selected phone / text above, please put your phone # here). *
How did you hear about VOICE?
There will be Meet & Greet / Q&A Event every month (dates  listed above). Would you be interested in receiving information about this event? *
Any questions, comments, or things that your adult ally Emily should know?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Valparaiso University. Report Abuse