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Council Interest Form
Charlene’s Circle of Support (CCOS) invites youth ages 15 to 25 and kinship caregivers to join our Kin2Lead Youth & Caregiver Champions Leadership Councils. These councils elevate lived experience, strengthen leadership skills, and help shape CCOS programs and advocacy efforts.
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Full Name *
Date of Birth *
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Email Address *
Phone Number
Example: 123-456-7890
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Preferred Method of Contact
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Which Council Are You Interested In?  *
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