Youth Advisory Council Application
Youth Advisory Members must be ages 11 to 20, living, working, or attending school in Pima, Cochise, or Santa Cruz County and willing and able to attend all meetings and events (see next page for schedule). Transportation is only provided for the Retreat. Youth are responsible for arranging their own transportation for all other events.

Members of the Youth Advisory Council gain valuable experience working in leadership roles to influence the community and make it a better place for everyone. Former YAC members have gone on to the Youth Leadership Team for the National Campaign to Prevent Teen and Unplanned Pregnancy, SIROW’s Youth Advisory Board, the Women’s Foundation UNIDAS Advisory Group, as well as college scholarships and more!
YAC members also receive lunch every day they attend, program-related gifts and giveaways, and gift cards ...

Please complete the application in its entirety.

Name *
Your answer
Age *
Your answer
Address *
Your answer
Phone *
Your answer
Email Address
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Email
Your answer
Nominated by (if self nominated, write "ME!" *
Your answer
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