Y2Y Youth Member Application

Y2Y Youth Member Application
We’re excited you’re interested in joining! Youth ll Young helps youth and young adults grow, learn, and connect through mentorship, life skills, education, and self-sustainment. Please fill out this application so we can get to know you better and help you thrive in our programs.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Name*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Shirt Size
Membership Information

Every Member, Every Month
Members who meet the participation and completion requirements of monthly challenges may be eligible for a 25%–50% scholarship applied toward their membership fee.
Membership Tier
Get to Know You
Tell us a little about yourself and what you hope to gain from Y2Y.
Education & Navigation - What is something new you want to learn or try this year, and why does it matter to you?
Mentorship - Who do you look up to and why? What could you learn from them if you had the chance?
Life Skills - What’s one skill you wish you were better at, and how would it help you in your daily life?
Self Sustainability - What does being able to take care of yourself or make good choices look like for you?
YesNoMaybeMore Information
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We’re excited you’re interested in joining! Youth ll Young helps youth and young adults grow, learn, and connect through mentorship, life skills, education, and self-sustainment. Please fill out this application so we can get to know you better and help you thrive in our programs.