Youth Drug Abuse Prevention Program FY 24-25 Membership Application

Youth Drug Abuse Prevention Program FY 24-25 Membership Application
Welcome! And thank you for sharing your interest in joining the Youth Drug Abuse Prevention Program for the 2024-2025 Fiscal Year, where you will join other high school students in becoming youth advocates and substance use prevention experts the Koreatown, Westlake, and Pico-Union Area. Please read and sign the following to apply.
What is YDAPP?

The Koreatown Youth & Community Center’s Youth Drug Abuse Prevention Program (YDAPP) is part of the Prevention Education Unit, which is funded by the County of Los Angeles, Department of Public Health, Substance Abuse Prevention and Control. YDAPP is a 10-month leadership program designed to give opportunities for students to engage with the community in a fun and hands–on way in order to address substance abuse and learn about prevention.

Participants meet on a weekly basis (Thursdays from 5:00PM-6:30PM) for leadership trainings and to plan events, conduct peer education, and community service opportunities. At its core, YDAPP is designed to provide youth with the opportunity to grow emotionally, socially, and mentally by challenging themselves and engaging with the community in order to become youth leaders.

Members will learn how to work as a team, overcome personal obstacles, communicate with others, and become community advocates. YDAPP activities include participation in drug-free events such as socials, youth participatory action research projects, and volunteering for community events such as town hall meetings, community clean ups and the 5k run. YDAPP is a place where members build new friendships, take on new challenges, and learn from one another.
YDAPP History

YDAPP was established in September of 1996 by the High School Korean American Youth Leadership Program as a pilot community project. Since then, YDAPP has become a permanent youth program and has achieved milestone successes.
YDAPP Mission & Vision

YDAPP's mission is to train youth advocates among Koreatown, Pico Union, & Westlake to raise awareness by learning about the causes and effects of underage drinking and substance use, as well as its associated risks. YDAPP aims to bring an uplifting and protective environment where we educate each other and learn about the importance of growth.
Please sign if you read and understood the history and mission of the Youth Drug Abuse Prevention Program.*

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Expectations of YDAPP

YDAPP members are expected to be community advocates and role models, and the program has high standards. Members are expected to live up to and work towards becoming youth leaders.

As youth advocates, members are expected to:
- Attend weekly YDAPP Meetings on Thursdays from 5:00PM-6:30PM, along with additional meetings as needed.
- Students may only miss 2 meetings. After 3 missed meeting, students will have to meet with YDAPP leads.
- Students MUST communicate with YDAPP leads at least 48 hours in advance, if you are unable to attend a meeting and be able to provide reasoning.
- Be able to work as a team. This means having a cooperative attitude, being inclusive and willing to compromise.
- Take initiative in leading projects and events in order to make YDAPP a truly student-led program.
- Live up to the commitments that we make in and outside of the program.
- Maintain open and honest communication with YDAPP members, KYCC staff, and other partners.
- Fully participating in all YDAPP activities, including discussions, trainings, events, and socials. This includes attending meetings on time and providing your input, insight, and opinions when needed.
- Behave as a leader by always being respectful of others, no matter what your differences may be.
Please sign if you read and understood the expectations of the members of the Youth Drug Abuse Prevention Program.*

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YDAPP Member Policies

Conduct: YDAPP members are expected to act in accordance with the program expectations. As community advocates and youth leaders, they are all expected to be and act as role models. Specific rules for YDAPP and KYCC are:
- Any violations of the YDAPP expectations
- Possession, distribution, sale, use or being under the influence of alcoholic beverages or illegal drugs for the duration of the membership (regardless of whether it is at school, home, or at KYCC). Should this happen during any time you are a YDAPP member, you are required to report this to the YDAPP Coordinator. Failure to do so will lead to immediate dismissal from the program.
- Bringing firearms, weapons, or other dangerous material to KYCC
- Actual or threatened physical violence towards other members, employees, clients or visitors.
- Providing any false statements or materials to KYCC staff or other YDAPP members.
- Misusing, destroying or damaging property of KYCC, fellow members, and employee, a client or a visitor.
- Unauthorized possession or removal of KYCC, member or employee property, records or other materials.
- Sexual harassment or other unlawful harassment of another members or staff
- Using abusive or vulgar language while a part of KYCC’s premises, or in conducting KYCC business.
- Comments directed towards race, gender, and sexual orientation.
- Violating safety or health rules or practices or engaging in conduct that creates health hazards.
- Carelessness or negligence when performing duties.
- Frequent or excessive tardiness or absenteeism.
- Unsatisfactory work performance and/or work attitude
Disciplinary Procedure: Unless the actions are so severe as to warrant immediate dismissal, members will first be spoken to and provided with a verbal warning.

Dismissal: Authority to dismiss a member is with the YDAPP Coordinator. The YDAPP Coordinator will consult with the President on this matter, but ultimately the decision to dismiss a student is up to the YDAPP Coordinator.
Please sign if you read and understood the member policies of the Youth Drug Abuse Prevention Program.*

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YDAPP Attendance Policies

Attendance: Attendance and participation is one of the most important components of the YDAPP program. YDAPP members are expected to attend every meeting, unless prior notice is given within 48hrs in advance.

Signing in/out: Members will need to create an account through the VolunteerMatters program and sign up for YDAPP meetings through the system. Everyone in YDAPP is required to sign in and out on the day of meetings, as well as on the physical sign-in sheet. Tardies: Any member who is going to be late must notify the facilitators 30 minutes prior to the start of the meeting.

Absences: Any member who cannot attend a YDAPP meeting must notify the facilitators as soon as possible. However, it should be no later than 24 hours before the meeting time. We will inform the members of events at least 1 month in advance to ensure participation. You have 3 allowed absences per semester during your 10 month commitment to YDAPP. More than 3 absences per semester will result in dismissal from YDAPP.

Sports Absence: Any member involved with school activities must let the YDAPP Coordinator know by September. They must submit their game/practice schedule at the beginning of their season. They need to attend at least 3 meetings during their sports season; in addition, they must also commit to creating projects for the YDAPP group.

Communication: Regular and open communication with other YDAPP members and KYCC staff is one of the most important aspects of YDAPP functioning as a team. This means replying promptly to all communications via phone, text message, email or Discord.

Phone: If you are contacted by other YDAPP members or KYCC staff, you are expected to reply as soon as possible. This is to help ensure that things are always moving forward and the group is not being held back by a lack of information or participation by one member who is not in communication with the group.

Discord: All YDAPP members are expected to check Discord regularly.
Please sign if you read and understood the attendance policies of the Youth Drug Abuse Prevention Program.*

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Letter of Recommendations & Community Service Hours

All requests for letters of recommendation or community service hours must come within 2 weeks of the due date. This includes any supplemental documentation (transcripts, resumes, etc) that is required to write the letter of recommendation. Letters of recommendation shall be written based upon satisfactory attendance, performance, participation, and how well the member meets program expectations. The letters can be recalled if serious subsequent violations of the conduct policy occur.

Letters of recommendation cannot also be written for members on probation or who have been subject to repeated discipline or warnings based on poor performance.
Please sign if you acknowledge and agree to comply with the contents to receive letters of recommendations and community service hours.*

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Membership Agreements

This is an Membership Agreement, between the Youth Drug Abuse Prevention Program and YDAPP Members.

1. Term of Internship.
Subject to the provisions for termination set forth below this agreement will begin Thursday, August 15, 2024 and terminate Thursday, May 30th, 2025, otherwise when declared by the YDAPP Leads. YDAPP members are expected to commit to the program for the duration of 10 months in order to be fully accredited for membership.

2. Duties and Position.
Once the member has been assigned a position, s/he shall carry out those duties as prescribed by the YDAPP Leads.

3. Member to Make Full Commitment to YDAPP.
For the duration of the membership, the member MUST devote time, attention, and energy to YDAPP as prescribed by the YDAPP Leads. The member MUST attend ALL meetings and other events. Specific schedule will be discussed with the YDAPP Leads.

4. Office Conduct.
Member shall conduct him/her in a professional manner while at KYCC and while interacting with staff and fellow members.

5. Communication.
Members must maintain a good line of communication with the YDAPP Leads, PE staff, and fellow YDAPP members.

6. Drug Abuse.
Members shall abide by all drug policies of the Koreatown Youth & Community Center. I will not consume, or experiment with alcohol, tobacco, and other illicit drugs. I will report all drug matters to the YDAPP Leads. I hereby give up the right to smoke while participating in the program even if I am 18 years of age.
By signing, I understand the contents and shall abide by this Agreement for the duration of this internship. I understand that the rules set forth in this Agreement are to protect the integrity of YDAPP. I will always remember that I represent YDAPP and KYCC at all times. I take full responsibility for my conduct.*

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Emergency Contact Information
Emergency Contact's Name*

First NameLast Name
What is the relationship of the Emergency Contact to you?*
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Email*
example@example.com

YDAPP Member Short Answers
How did you hear about YDAPP? (Check all that apply)*

KYCC WebsiteKYCC NewsletterAdvertisement FlyerYDAPP MemberFriend or FamilyOther
Why do you want to join YDAPP?*

Liability Release Form
I understand that from time-to-time, KYCC, its affiliates, KYCC’s Youth Drug Abuse Prevention Program (YDAPP) or any of its affiliates may wish to publish examples of the youth’s projects, photographs of the youth, and other work/images in the website, and/or brochures.

I understand that KYCC’s Drug Abuse Prevention Program has a Facebook page (www.facebook.com/YDAPP) linked to KYCC’s main Facebook page, Instagram, Youtube channel, and twitter account, managed by the lead staff on a daily basis. I understand that the lead staff will update photographs and/or videos of activities, events, etc. onto these social media outlets and KYCC main website to be made available for students and the public to view. I understand that this page may contain photographs and/or videos of YDAPP members as well. I further understand that students may “tag” themselves or each other on these photographs and/or videos to be made viewable on their personal Facebook pages. I hereby give my consent for my child’s photograph and any audio/visual medium to be taken, duplicated, and disseminated to the public for KYCC’s use. I understand that the photographs and audio/visual materials are the sole properties of KYCC and that it holds the right to use it to the discretion of agency staff.

Furthermore, I give my consent for my child to ride in the agency’s commercial vehicle or a privately owned vehicle operated by staff, volunteers, interns, or fellow students for any events pertaining to the program on and off duty hours that require transportation for the duration of the program/event.

Lastly, I hereby grant permission for my child to use all of the program equipment and participate in all activities of the center. I hereby grant permission for my child to leave the premises under the supervision of a staff member for various activities. I hereby give permission to seek emergency medical attention for my child if unable to contact me. The undersigned agrees that KYCC’s Youth Drug Abuse Prevention Program (YDAPP) and its designated leaders and directors are not legally or financially liable for any claim arising from any consent given in good faith in connection with such diagnosis or advised treatment. This authorization and consent to treatment of said minor is given to KYCC’s Youth Drug Abuse Prevention Program (YDAPP) in conjunction with any authorized program event.
By signing below, I certify that I am the parent and/or legal guardian of the child named below, and that I have read and understood the terms stated herein. (Print Name and State Relationship)*

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Parent/Legal Gaurdian Name*

First NameLast Name
Youth Applicant Name*

First NameLast Name
Parent Guardian Consent and Support Form
I understand that the internship my child is applying for requires them to spend time outside of school working on community projects during the evenings and weekends. I am satisfied with my child’s grades and I give full support and consent for my child to apply for KYCC’s youth leadership program

I do release and hold harmless KYCC, Board of Directors, and employees for any and all loss, damage, and/or injuries related to my son/daughter’s participation in YDAPP meetings, community events, and field trips.

Forma de Consentimiento Y Apoyo para Padres/Guardianes

Comprendo que el puesto de interno que mi hija/o solicita requiere que pase tiempo fuera después de escuela trabajando en proyectos contribuyendo a la comunidad durante las tardes y fines de semana. Estoy satisfecha/o con los grados de mi hija/o la/o apoyo y doy el consentimiento para que mi hija/o aplique al programa de liderazgo de juventud en KYCC.

Doy mi consentimiento y entiendo que KYCC, Junta Directiva, y empleados no son responsables de cualquier y toda pérdida, daños y / o lesiones relacionadas con la participación de mi hijo en juntas de YDAPP, eventos comunitarios, y excursiones.

부모님/보호자님 동의서

본인은 자녀가 신청하는 인턴쉽기간동안 커뮤니티 프로젝트가 저녁시간 혹은 주말에 진행될 수 있음을 동의합니다. 또한 자녀의 학교성적에 만족하며 더불어 KYCC 청소년 리더쉽 프로그램에 지원하는 것을 허락합니다.

본인은 자녀가 YDAPP의 커뮤니티미팅, 행사와, 견학에 참여하는 동안 물질적인, 혹은 신체적인 피해를 입을시, KYCC, KYCC 이사회, 그리고 KYCC직원에게 책임을 묻지 않음을 동의합니다.
By signing below, I certify that I am the parent and/or legal guardian of the child named below, and that I have read and understood the terms stated herein. (Print Name and State Relationship)*

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Parent/Legal Guardian Name*

First NameLast Name
Youth Applicant Name*

First NameLast Name
CONSENT TO INTERVIEW, PHOTOGRAPH OR FILM A CLIENT FOR NONPROFIT USE
I hereby consent to the participation in interviews, the use of quotes, creative materials (e.g., student artwork) and the taking of photographs, movies or videos of the client named:
Program Member's Name*

First NameLast Name
I also grant the Koreatown Youth and Community Center (KYCC) the right to edit, use, and reuse said products for nonprofit purposes, including but not limited to, use in print, on the internet, audiovisual presentations, promotional literature, advertising, community presentations, and all other forms of media, without financial compensation and in perpetuity.

I also hereby release KYCC and its agents and employees from all claims, demands, and liabilities in connection with the above. I understand that said products may appear in electronic form on the Internet or in the public, and I agree that I will not hold KYCC responsible for any harm that may result.

I am at least 18 years old and am competent to contract in my own name. I have read the release before signing below and I fully understand the contents, meaning, and impact of this release.
Which program is the youth a member of?*

Youth Drug Abuse Prevention Program
Today's Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Parent/Guardian Name (must provide if client is under 18 years of age):*

First NameLast Name
Parent/Guardian Signature (client may sign if over 18 years of age):*

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Should be Empty:

Youth Drug Abuse Prevention Program FY 24-25 Membership Application

YDAPP Member Information

Emergency Contact Information

YDAPP Member Short Answers

Liability Release Form

Parent Guardian Consent and Support Form

CONSENT TO INTERVIEW, PHOTOGRAPH OR FILM A CLIENT FOR NONPROFIT USE