Youth Advisory Board - Student Application
Thank you very much for your interest in the MPY Youth Advisory Board! We hope to bring together a diverse group of students from across the United States who want to inspire others to use media creatively to build positive relationships and learn new things. We are seeking teens who want to share their opinions on media and ways to support youth in navigating the challenges of digital technology.

Please complete the application below and nominating form no later than Monday, April 30th. All forms and information can be found online at mediapoweryouth.org/youthmediasquad. Meetings will take place on the 2nd Monday of every month May 8, 2023 through May 16th, 2024, 7:00-8:30pm EST (4:00-5:30pm PST) virtually.

If you have any questions, please contact Heather Inyart, at heather.inyart@mediapoweryouth.org. For more information about Media Power Youth, visit mediapoweryouth.org.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
What are your pronouns? *
Email *
Cell phone number *
What state do you live in? *
What is your street addess (number and street)? *
What city/town do you live in? *
What is your zip code? *
Were you recruited by a current advisory board member? If so, who?
Please indicate your gender. Choose only one answer. *
Which description below best describes you? Check all that apply. *
Required
We are looking for high school students for this advisory board. What grade will you be entering in the fall of 2023? *
What is your school's name? *
What is your age? *
What extracurricular activities do you participate in?  *
What is your cummulative GPA? *
How did you hear about this opportunity? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Media Power Youth. Report Abuse
Google Forms