Black Youth Advisory Group Sign-Up Form
Complete your details, optional demographic info, and availability, and share any accommodations or barriers so we can support your participation.
Some details
PARSC has always shown up for youth through events, tutoring, mental health supports, advocacy, school meetings and helping families navigate systems. If you know Natasha, you know she does not play when it comes to her kids — and by “her kids,” she means all the kids. She wants to pour into youth, help them build confidence and leadership skills, and make sure their voices are heard. The Youth Advisory Council is a chance to share your ideas, earn volunteer hours, help plan youth-led events and programs, and access possible paid opportunities throughout the year. We will meet by Zoom on the third Tuesday of each month at 6:00 p.m., starting September 15, 2026. Our goal is simple: Black youth should be helping tell us what Black youth need.
Please review the details below before starting the survey.
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Full Name
*
First Name
Last Name
Demographic Information
We ask for this information to help ensure our group reflects the diversity of Black youth in our community, including different ethnic backgrounds, income levels, lived experiences, identities, and beliefs.
Race-Check all that apply
*
Black-African
Black-Caribbean
Black Canadian
African American
Afro-Latin / Afro-Latin American
Afro-Indigenous
Black with another cultural or ethnic background
East Asian (e.g., Chinese, Japanese, Korean, Taiwanese, Mongolian)
Southeast Asian (e.g., Filipino, Vietnamese, Cambodian, Thai, Indonesian, Malaysian, Laotian)
South Asian (e.g., Indian, Pakistani, Bangladeshi, Sri Lankan, Nepali, Bhutanese)
Middle Eastern / West Asian (e.g., Iranian, Afghan, Turkish, Kurdish, Armenian)
Arab (e.g., Lebanese, Syrian, Iraqi, Palestinian, Egyptian, Moroccan, Sudanese)
Indigenous (First Nations, Métis, Inuit, or other Indigenous identity)
Latin American / Latino/a/x (e.g., Mexican, Brazilian, Colombian, Dominican, Cuban, Central or South American descent)
White (e.g., European, Canadian, British, Irish, Italian, Portuguese, Polish, Ukrainian, or other European descent)
Mixed / Multiracial
Other
Religion, Faith, and Spirituality (optional)
Bahá’í
Buddhist
Christian
Catholic
Protestant
Orthodox
Evangelical / Pentecostal
Other Christian denomination
Hindu
Indigenous spirituality / traditional Indigenous beliefs
Jewish
Muslim
Sunni
Shia
Other Muslim identity
Rastafarian / Rastafari
Sikh
African Traditional Religion / African spirituality
Caribbean spiritual or faith tradition
Pagan / Earth-based spirituality
Spiritual, but not affiliated with a specific religion
Agnostic
Atheist
No religion / no faith affiliation
Gender (optional)
Woman
Man
Non-binary
Two-Spirit
Genderfluid
Genderqueer
Agender
Transgender woman
Transgender man
Do you speak any other languages, beside English, if so please list below.
Do you live in Simcoe County?
*
Yes
No
City or Town in Simcoe County
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Confirm Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary communication will be by email.
Email Address
*
example@example.com
Confirm Email Address
*
example@example.com
Parent or Caring Adult Email
example@example.com
Can you commit to monthly Zoom meetings?
*
Yes
No
Can you commit to 2-10 hours a month?
Yes
No
Do you need any accommodations to participate or feel comfortable?
Are there any barriers to you being able to join?
How can we help support your participation?
Submit Application
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