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
Format: (000) 000-0000.
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