Youth Activist Network Application
**๐—ข๐—ป๐—น๐˜† ๐—œ๐—ป๐˜๐—ฒ๐—ฟ๐—ป๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—ฌ๐—ผ๐˜‚๐˜๐—ต ๐—Ÿ๐—ฒ๐—ฎ๐—ฑ๐—ฒ๐—ฟ๐˜€๐—ต๐—ถ๐—ฝ ๐—–๐—ผ๐˜‚๐—ป๐—ฐ๐—ถ๐—น (๐—œ๐—ฌ๐—Ÿ๐—–), Know Your IX, ๐—ฎ๐—ป๐—ฑ ๐— ๐˜‚๐˜€๐—น๐—ถ๐—บ ๐˜†๐—ผ๐˜‚๐˜๐—ต ๐—Ÿ๐—ฒ๐—ฎ๐—ฑ๐—ฒ๐—ฟ๐˜€๐—ต๐—ถ๐—ฝ ๐—–๐—ผ๐˜‚๐—ป๐—ฐ๐—ถ๐—น (๐— ๐˜†๐—Ÿ๐—–) ๐—”๐—ฝ๐—ฝ๐—น๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐—ฎ๐—ฟ๐—ฒ ๐—ข๐—ฝ๐—ฒ๐—ป ๐—ฎ๐˜ ๐˜๐—ต๐—ถ๐˜€ ๐—ง๐—ถ๐—บ๐—ฒ. ๐—œ๐—ฌ๐—Ÿ๐—– ๐—ฎ๐—ป๐—ฑ ๐— ๐˜†๐—Ÿ๐—– ๐—”๐—ฝ๐—ฝ๐—น๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐—ฐ๐—น๐—ผ๐˜€๐—ฒ ๐—ผ๐—ป ๐—๐˜‚๐—ป๐—ฒ ๐Ÿญ๐Ÿณ๐˜๐—ต ๐—ฎ๐˜ ๐—บ๐—ถ๐—ฑ๐—ป๐—ถ๐—ด๐—ต๐˜ ๐—ฃ๐—ฆ๐—ง.**


Join our Youth Activist Network to be one of 130 youth activists aged 14-24 who receive training, support, and stipends to organize for reproductive justice in your community! Those accepted will receive in-depth training at our virtual Youth Activist Institute in September, and be flown to Washington, DC in January for a life-changing experience networking with youth activists and building organizing skills.

APPLICATIONS DUE: May 31st, 2021 at midnight PST. IYLC, Know Your IX, and MyLC Applications remain open until until June 17th at midnight PST.

You must fill out this application in one sitting, so BEFORE beginning your application below, be sure to read our program descriptions here: https://www.advocatesforyouth.org/program-applications/
Email *
First Name *
Last Name *
Birthday *
Our programs are limited to young people 24 years old or younger.
MM
/
DD
/
YYYY
What city are you in? *
What state are you in? *
Zip code *
*Answer only if you live in Kentucky, Alabama, Texas, Nevada or Minnesota - Would you like to join a Youth Activist Alliance in your state?
Youth Activist Alliances are youth-led local or state-level grassroots organizations working towards youth sexual health and rights and reproductive justice. By becoming a member, you will have the opportunity to volunteer for a local campaign for change, be supported by our Alliance leaders in your organizing, and join a powerful base of young activists in your state committed to the movement for reproductive justice.
Clear selection
Next
Never submit passwords through Google Forms.
This form was created inside of Advocates for Youth. Report Abuse