The Youth Advisory Council is now accepting applications for Fall 2026

The Youth Advisory Council (YAC)

is now

Accepting Applications for

Fall 2026 - Spring 2027
This application is confidential and all information collected in this document will not be shared with Council Members, Staff and/or the Public. This information will be used exclusively to screen candidates that will be selected to serve on the Black Women Revolt Against Domestic Violence - Youth Advisory Council (BWRADV - YAC). YAC Members should be 18 years old by Saturday, September 5th, 2026.
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number*

Area CodePhone Number
Your Email*
example@example.com
Date of Birth*
Name of High School, College, or University. (if not currently a student please put the name of the last school you attended):*
Grade Level*
Major/Minor (if applicable)
Language(s) Spoken:*
Emergency Contact Name, Relationship, and Telephone Number*
Upload Your Resume that includes any volunteer experiences, club memberships, and extra curricular activities if you do not have paid work experience. This is required for College Students

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Please upload your letter of reference below or have it emailed to taylor@blackwomenrevolt.org. Letters of reference should come from a teacher, counselor, and/or community member who is familiar with you and can speak to your strengths and opportunities for growth.
Upload Reference Letter

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Required Application Questions
What interested you in the Youth Advisory Council (YAC)?*
How have you been a leader in your group of friends, family, or community? What have you done that shows your potential for leadership? If you have previous service learning experience, please describe that experience below.*
Public SpeakingSocial MediaHealth & Wellness PracticesCreative WritingArtCampus OrganizingOther
YesNo
Type option 1Type option 2Type option 3Type option 4
What are your other commitments this semester and next semester? (ie winter term study abroad, sports, clubs, graduation requirements)*
How did you hear about the Youth Advisory Council?*
Wednesday AfternoonThursday Afternoon
Wednesday, 5/13/2026 1:30 PM - 2:00 PMWednesday, 5/13/2026 2:00 PM - 2:30 PMThursday, 5/14/2026 2:00 PM - 2:30 PMThursday, 5/14/2026 2:30 PM - 3:00 PMWednesday, 6/10/2026 1:30 PM - 2:00 PMWednesday, 6/10/2025 2:00 PM - 2:30 PMThursday, 6/11/2026 4:00 PM - 4:30 PMThursday, 6/11/2026 4:30 PM - 5:00 PMI am available another time for my YAC interview
Transitional Aged Youth (18 - 24)HomelessLGBTQIA+BlackBi-RacialBIPOCSurvivor of Domestic Abuse (including Teen Dating Violence) or Community ViolenceNo, I do not
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