2024-2025 IM SAFE CAC Youth Advocacy Council Application


The Ionia Montcalm Secure and Friendly Environment Child Advocacy Center (IM SAFE CAC) is excited to build a team of youth who will represent all areas of Ionia and Montcalm Counties during the 2024-2025 school year. The team of interested youth will provide insight regarding the impacts of sexual abuse on the lives of youth in Ionia and Montcalm Counties and how the IM SAFE CAC can better serve our community. After we receive your application, a selection committee member will follow up with you to schedule an informal interview. 


The Youth Advocacy Council (YAC) is composed of teens throughout Ionia and Montcalm Counties who are passionate about the work we do at the IM SAFE CAC. Every year, the YAC plans and implements a chosen service project. This is an opportunity to develop leadership and teamwork skills while positively impacting our community and the lives of children affected by sexual abuse. 


The minimum requirements: 

1. Be enrolled in 9th-12th grade at any Ionia or Montcalm County High School.

2. Have reliable transportation.

3. Attend monthly meetings at the IM SAFE CAC on Wednesday evenings in October-April.

4. Attend a day-long training in the fall.

5. Commit to spend time outside monthly meetings to work on the YAC-led service project.



يمكنك تسجيل الدخول إلى Google لحفظ مستوى التقدم. مزيد من المعلومات
Please note that if you share information about abuse or neglect, either in this application, during your interview, or at any point during your participation on the Youth Advocacy Council, the IM SAFE CAC staff are mandated reporters and must report this information. If you have any questions, please contact YAC Advisor- Christy Harter at charter@imsafecac.org.

I have read and understand the Informed Consent Statement above. (Please type your first and last name below.)
 *
Name (First and Last) *
Address (Ex. 123 Street Name, City, MI 12345) *
Preferred Phone Number *
Email 
Date of birth (MM/DD/YYYY) *
How would you describe your identity? You may provide as much or as little information here or none at all.
Pronouns (Ex. she/her/hers)
Parent/Guardians Name(s) *
Parent/Guardian(s) Preferred Phone Number(s) *
Parent/Guardian(s) Preferred Email(s)
Name of the school you attend. *
Current grade for the 2024-2025 School Year *
Year of expected high school graduation
List all extracurricular activities you are currently involved in, including employment (you may write none or N/A).  *
The monthly meetings are mandatory. If you miss 2 meetings during a semester, an advisor will check in with you about your capacity to continue with the team. In addition you will likely need to set aside extra time to work on the service project. Do you have time to commit to monthly meetings and additional tasks for the 2024-2025 school year? *
Why are you applying to the Youth Advocacy Council? *
What do you feel you can contribute to the group? *
What makes you unique, or what is something you would like us to know about yourself? *
Have you had any experiences in life that may bring up or trigger certain feelings based on topics we discuss? Reminder: if you share information about abuse or neglect, IM SAFE CAC staff are mandated reporters and must report this information. (You may write "none" or "N/A") *
Do you have any food allergies, and/or do you need any accommodations? If yes, please explain. (You may write "none" or "N/A") *
I have read and I understand the requirements listed to be on the Youth Advocacy Council. (Sign & Date)  *
التالي
محو النموذج
عدم إرسال كلمات المرور عبر نماذج Google مطلقًا.
تم إنشاء هذا النموذج داخل IM SAFE CAC. الإبلاغ عن إساءة الاستخدام
نماذج Google