Jeffco Teens Workgroup Interest Form

Work with other youth in Jefferson County on projects you are interested in and learn about and participate in coalition work to improve health, safety, and wellness in Jefferson County. Plus, get paid for your participation!

Project topics may include:

Substance misuse prevention
Mental health support
Program evaluation
And more!

The Jeffco Teens Workgroup will meet every month on the first Thursday of the month from 4:00 – 5:30 PM. All meetings will be held either virtually on Zoom or in person. The first Jeffco Teens workgroup meeting will be virtual on Zoom on May 2nd, 2024. This opportunity is open to all youth aged 11 - 22 who either live and/or go to school in Jefferson County, Colorado.

Please fill out this interest form and we will be in touch with more details soon!

For more information about Jefferson County Communities That Care (Jeffco CTC), please visit our website at JeffcoCTC.care.

Your Name*

First NameLast Name

Your Email*

example@example.com

School you attend*

If you do not attend school but do live in Jefferson County, please type, "I do not go to school but I do live in Jefferson County." If you are homeschooled, please type, "I am homeschooled."

Age*

How did you hear about the Jeffco Teens Workgroup?*

If you are 11 - 17, we will need a parent/guardian's signature on your paperwork in order for you to participate. Including your parent/guardian's email below allows Jeffco CTC staff to email paperwork to your parent/guardian directly for a signature. If you do not know your parent/guardian's email right now, you can still complete this form and Jeffco CTC staff will reach out to you later to get that information from you.

Parent/Guardian's Name (if you are 11-17 years old)

First NameLast Name

Parent/Guardian's Email (if you are 11-17 years old)

example@example.com

Do you have any accommodation requests (interpretation, etc.)?

Please use this space to ask any questions you have.