Youth Advisory Council (YAC) Application

Youth Advisory Council (YAC) Application

Thank you for your interest in becoming a Huddle Brandon YAC member! YAC exists to include the voice of youth into the design of the services, programming, and experiences at Huddle Brandon! The information collected below is to make sure the perspectives of our YAC members reflect the diversity in our community. Huddle Brandon is designed by youth to be "Here for Youth."
Applicant Information
Name

First NameLast Name
Age
Ethnicity
Examples: Indigenous, Caucasian, South Asian, Chinese, Black, Filipino, Latin American, Arab, Southeast Asian, West Asian, Korean, Japanese, etc.
Gender

I do not identify with these options
Preferred Pronouns

I do not identify with these options
I currently (check all that apply)

Other
I attend
What are the perspectives that you would bring to the Huddle Brandon YAC?
Huddle Brandon is looking for representation from youth with diverse perspectives. (examples include: gender, newcomer/immigrant experience, disability status, cultural status, race/ethnicity status, life situation status, sexual orientation, lived experience, religion, life outlook, etc)
What are your interests? What do you do for fun?
Huddle Brandon is looking for youth with a wide range of interests. YAC members have the opportunity to help develop and lead wellness activities for youth. The possibilities are endless. (examples could include: art (painting, drawing, pottery, etc), physical activity (sports, hiking, dancing, fitness, yoga, etc), crafts (needlework, beading, sewing), music, gaming, camping, photography/videography, writing, reading, woodworking, gardening, etc, etc, etc
Contact Information
What are the best ways to contact you? (you can check more than one)

Other
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Instagram Handle
Facebook Handle
Acknowledgment
I hereby certify that all information I provided in this document is accurate and true to the best of my knowledge.

I understand that data collected from this form will be used for recruitment and evaluation purposes only. All data will be strictly confidential.
Applicant's Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Youth Advisory Council (YAC) Application

Applicant Information

Contact Information

Acknowledgment