KYL and SAMHSA Committee Interest Form

Please complete the form below.

Yôotva for your interest in joining and being proactive in the Karuk Youth Leadership (KYL) and Substance Abuse and Mental Health Services Administration (SAMHSA) Committee.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number

Area CodePhone Number
Relationship to Youth Participant(s)

Other
Do you currently have a child participating in KYL programming?
If you have any questions, please enter them here or add your days and times available to help.
Days and times you can be available~add to notes in box above.
Please be on the lookout for an announcement for in person or virtual meetings through text, in your email inbox or SPAM folder.
Should be Empty:

Please complete the form below.