Adult Advisor Registration for the 2024 Youth Driven Summit
The 2024 Youth Driven Summit is a statewide traffic safety and leader program for Rhode Island high school youth. Students will learn components of traffic safety with a focus on substance use prevention strategies and safe decision making skills. Students will have the opportunity to develop their innate leadership skills to keep themselves, their schools and their communities safe and strong.

Our Summit will be held on July 30 - Aug 1 and all participants & adults will stay in dorms on Bryant Univ. All adults are give a single room. The Youth Driven Summit is free to attend and transportation is provided upon request. Please reach out to Rebecca White, youthdrivenri@gmail.com with any questions or to simply learn more. You can also visit https://www.youthdriven.org/summit for an overview of the Summit.

STEPS:
1.) Fill out this registration form.
2.) Full Applications will be emailed to you.
3.) July 1, 2024 You will receive an accepted summit packet in the mail with summit details.
Sign in to Google to save your progress. Learn more
Email *
What is your first and last name? *
Email *
Please do not use a school email, list a personal one you check often. So in the summer months we can contact you.
Full Home Address: Street *
Street, town, state, zip, apt/unit # ie: 10 Hope Street, Providence, RI 02865, Apt #5
Cell Phone Number *
What school group will you be advising? *
If it dose not apply put N/A
What is your occupation? *
Date of birth? *
MM
/
DD
/
YYYY
What is your preferred gender pronouns? *
Gender: How do you identify? *
T Shirt Size *
Food Restrictions *
Allergies *
How Did You Hear About Youth Driven Summit? *
Is there anything else we should know about you?
Do you have any questions for us?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms