College Admissions Form

Youth Advisory board application

The Youth Advisory Board of Northern New Jersey meets on Zoom every first Thursday of the month from 6-7pm. Join the YAB to make a difference in the health and wellness of your community, educate your peers, play games, win prizes, and much more! YAB members must be in grades 8-12 and from one of these New Jersey counties: Bergen, Essex, Hudson, Morris, Passaic, Sussex, or Warren.
Full Name*
Birth Date*

MonthDayYear
Gender + Pronouns
Phone
School E-mail Address*
example@example.com
Personal E-mail Address *
example@example.com
School Name*
Grade*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Why do you want to join the YAB?*
What other activities are you involved in, in school and out?*
What health and wellness topics are you interested in raising awareness about?*

Youth Advisory board application