Youth Action Committee (YAC) Interest Form 
Hello future leader! We are excited that you are interested in joining the committee, please fill out this google form and we'll get back to you with the next step in the process as soon as possible. The Youth Action Committee (YAC) hopes to see you soon! 
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Email *
First Name  *
Last Name  *
School you attend  *
Grade level *
Age Range *
Gender  *
Preferred method of contact  *
Required
Cell Phone Number
Email
Social media handle (ex: instagram/@)
What caught your attention about the Youth Action Committee? (2-3 Sentences) *
How did you hear about the Youth Action Committee? *
Do you have a resume already?  *
What skills do you plan to bring to the Youth Action Committee?
Which skills are you most interested in building while participating in the Youth Action Committee?
In your community what are you most passionate about supporting, preventing or resolving? (Ex. Youth violence prevention, youth advocacy, gun violence, teen parent child care)
Any other Questions/Comments/Concerns?
Favorite song by a Black Artist?
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