Washoe County YAB Application

Washoe County YAB Application
Name

First Name Last Name
What is your birthdate?
How old are you today?
What is your gender?
What is your race?
Phone Number

Area Code Phone Number
Email
example@example.com
Who referred you to the YAB?
Can you get on email regularly?

Yes No
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Can you get on Facebook regularly?

Yes No
Do you prefer In Person or On Line meetings?

In Person On Line
Will you need help with transportation to get to In Person meetings?

Yes No
What time of the day would you prefer meetings were held?

Between 8am and Noon Between Noon and 4pm Between 4pm and 8pm
Are you a foster youth who is "in care" or "aged out"?

In Care Aged Out
What are you especially interested in that the YAB can provide?

Being a Youth Advocate Learn Leadership Skills Gain Adult Support Storytelling to Affect Change Raise Money for a Cause
What kind of skills will you bring to the YAB?Any community, school or work volunteer experiences that will help you be agood YAB member?
What specific issue do you hope to learn about and be able to influence change around?
What leaders, from Sparks or Reno, would you like to hear from and ask questions of?
We aspire to grow the Youth Advisory Board to 25 members. $25 gift cards will be given to members who make a “good” referral.
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