Request edit access
Maui Nui Youth Council Registration
Aloha,  

Thank you for your interest in the Maui Nui Youth Council.  We're actively recruiting middle school, high school, and college student leaders to join our Maui Nui Youth Council, where you can make a difference in your community and be part of a group that stands up and speaks out about alcohol and other substance abuse. More information is available on the Maui Coalition for Drug-Free Youth website, mcdfy.org.

Please fill out the form and Spencer Headley, Maui Nui Youth Council Coordinator, will get back to you within three (3) business days.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Age *
School Currently Attending *
Email Address *
Phone Number
Why are you interested? *
What are you looking forward to? *
Do you have any interest, talents, etc that you'd like to share with us? We'd love to know more about you and see how we can incorporate your passions to the youth council!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hawai‘i Public Health Institute.

Does this form look suspicious? Report

Google Forms