Youth Action Board
Please note all information gathered on this form is confidential and only reviewed by YAB members and IA BoS CoC staff. YAB members and visitors will not be asked to share information or experiences in meetings unless they are comfortable doing so.

After completing this form, you are eligible to vote on action items during YAB meetings. 
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Full Name (First, Last) *
Age *
Pronouns *
Email
Cell Phone Number *
Preferred Method of Contact *
Location (City/County) *
Demographic Questions
None of the following questions will disqualify you from participating in the Youth Action Board. We are committed to being a diverse board of individuals and are looking for people with varying experiences.
If you wish to share, do you have experience with any of the following?
If you wish to share, please tell us if you identify with any of the following.
Which of the following subject areas are of interest to you?
Which of the following, if any, would be barriers to you participating in YAB?
Thank you!
We appreciate you taking the time to fill out this member form! You are invited to attend the next YAB meeting to learn more about the goals and objectives of this group. We typically meet on the second Tuesday of the month at 5pm, on the GoTo meeting platform or in-person at the YSS Family Life Center in Ames, Iowa.

https://meet.goto.com/357461141

Should you have any questions pertaining the Youth Action Board, don't hesitate to reach out to the YAB facilitator at rachel.falahpour@icalliances.org or call/text ph 515-823-4081.  



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