Jeffco Teens 2026 Youth Town Hall Interest Form

Jeffco Teens 2026 Youth Town Hall Interest Form

Please submit this form no later than May 17, 2026
Jeffco CTC’s Youth Town Hall (YTH) is about youth having a say in what happens in Jefferson County.

The Jeffco CTC Youth Town Planning Team creates a space for youth to speak on important issues, gather real input from other youth, and use the information to create visible change in our community.

The YTH Planning Team will meet as follows to plan the event:
- Saturday, May 30th, 10:00am - 1:00pm - Kick Off Meeting (in person at 9250 West 5th Avenue, Third Floor, Lakewood, CO 80226)
- Wednesday, June 3rd, 9:30am - 11:30am (virtual)
- Wednesday, June 17th, 9:30am - 11:30am (virtual)
- Wednesday, July 1st, 9:30am - 11:30am (virtual)
- Wednesday, July 15th, 9:30am - 11:30am (virtual)
- Wednesday, July 29th, 9:30am - 11:30am (virtual)
- Wednesday, August 12th, 9:30am - 11:30am (virtual)
- Wednesday, August 26th, 4:00pm - 6:00pm (virtual)
- Wednesday, September 9th, 4:00pm - 6:00pm (virtual)
The YTH Planning Team will help determine the date of the Youth Town Hall event as well as the run through and debrief session (all in person).

Please fill out this interest form and someone from Jeffco CTC will be in touch with instructions on how to fill out a Participation Agreement. Youth Town Hall Planning Team members will faciliate the Youth Town Hall event and will receive a $450 stipend (details will be included in the Participation Agreement).

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*
Please include an email address you will check regularly throughout the summer: example@example.com
School You Attend*
If you do not attend school and 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."
Grade Completed in 2025-2026*
If you do not attend school, please type, "N/A."
Age*
Yes, I was part of Jeffco TeensYes, I was on Youth Town Hall Planning and/or Promotion TeamYes, I attended Youth Town HallI am not sureNo
How did you hear about Jeffco CTC's 2026 Youth Town Hall Planning Team?*
If you are 11 - 17, we will need a parent/guardian's signature on your paperwork in order for you to participate. Please include your parent/guardian's email below to allow Jeffco CTC staff to email paperwork direclty to your parent/guardian for their signature. If you do not know your parent/guardian's email, please complete this form and Jeffco CTC staff will reach out to you to get the 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?
Do you have any questions about Jeffco CTC and/or the Youth Town Hall?
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