Application for the 2024 Mobilizing Youth Summit

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Application for the 2024 Mobilizing Youth Summit

Thank you for your interest in the 2024 Mobilizing Youth Summit. Hosted by Teen Health Mississippi and our partners, the Summit provides young people with an opportunity to increase awareness around issues affecting youth in their communities. This year's conference will be held June 8-11, 2024, at Hinds Community College in Raymond, MS. Young people will collaborate with other youth advocates, local and state leaders, entrepreneurs, policy experts, and social activists to identify paths to move communities forward.

If interested in participating, we invite you to apply for consideration. Applications will be reviewed on a rolling basis.

If you have any questions or require special assistance or accommodation to complete the application, please contact us at mysummit@teenhealthms.org.

Email *

Applicant Name (First and Last): *

Preferred Name:

Applicant Home Address (including city and zip code): *

Applicant Phone Number: *

Applicant Birthdate (MM/DD/YYYY):

YYYY

Applicant Gender: *

Female

Male

Genderqueer

Transgender

Other:

Applicant Race: *

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White or Caucasian

Other:

Which state are you based in? *

Alabama

Arkansas

Georgia

Mississippi

Louisiana

Tennessee

Other:

Where do you currently attend school?
*

What is your grade level or classification in school?
*

What role have you played in your school or community to advance a cause, bring about a change, or raise awareness on an issue? Why did you decide to become an advocate in this situation?
*

As a youth advocate, you'll often be asked to share your personal story or connection to the work that you do. What is your reason for doing or having an interest in advocacy work? How does this connect to your interest in participating in the 2024 Mobilizing Youth Summit?
*

What comes to mind when you hear the phrase, “youth advocacy and the power of now?”
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When it comes to decision making, why do youth need and deserve a seat at the table?
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Let's say you were given $5000 to work alongside local city leaders, entrepreneurs, policy experts, youth-serving organizations, and social activists to develop/implement an advocacy initiative in your community. Briefly describe the issue that is affecting your community. What are the root causes of this issue? If you were to implement an advocacy initiative in your community around this issue, what would you want to accomplish? Be sure to thoroughly discuss your idea and how participating in the Summit can help bring this idea to fruition. *

Participants will have the option to sign up for immersive workshops, thought-provoking roundtables, and inspiring keynotes that best align with their interests. Which Summit track are you most interested in?

Advocacy (refers to the act of promoting a particular cause or idea, often with the goal of influencing policy or decision-making)

Policy (refers to a set of rules or principles that are created by government or other organizations to guide decision-making and actions)

Leadership (refers to being a catalyst for transformative change through collective impact and shared responsibility)

Clear selection

If selected, what specific activities, workshops, and/or other experiences would you be interested in participating in during the Summit?
*

How did you hear about the Summit?
*

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