Youth Advisory Council 2025 Application Form

Youth Advisory Council 2025 Application Form

Thank you for your interest in joining the Youth Advisory Council! Please complete the entire application and submit.
Your Name

First NameLast Name
Birth Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
In the future there will be planned face to face meetings that are scheduled. Would there be a barrier in your attendance if notified in a timely manner?
Emergency Contact /Adult Supporter
As a member of the Youth Advisory Council, you will complete goals and responsibilities listed below:

Goals
 Empower and provide a platform for teens and young adults
 Promote awareness around health and wellness
 Develop advocacy and leadership skills
 Host statewide educational events around health related services and resources

Roles and Responsibilities
 Choose a subcommittee and carry out designated activities
 Attend and participate in meetings
 Act as a representative of GF360 and execute health promotion activities
 Identify a project and carry out the tasks needed to complete it
 Lead decision-making in regards to project content and project implementation
 Work with the Youth Advisory Board coordinator to draft the meeting agendas
 Facilitate meetings
 Create a strategic plan for the group every year
 Facilitate conversations among youth
 Actively voice opinions
Please thoughtfully answer the questions below:
Describe the skills and talents that you have to help serve the mission, vision and goals of the Youth Advisory Council?
In detail, explain why you would like to be involved with the Youth Advisory Committee?.
Share what personal characteristics make you unique person ?
Do you have the space in your schedule to take on this commitment, and if not how do you plan to create it?
ie. Graphic Design, Social Media
If you are selected as a member, what do you hope to be your contributions as an advisory member?
ie. Graphic Design, Social Media
Photographic & Volunteer Release

I hereby acknowledge that the information given above is accurate and I give permission to the community for the use of my photographs that are taken by staff in order to use for social media.
Volunteer Candidate Signature
Should be Empty: