Girl Be Heard Youth Advisory Council (YAC) Application
Please submit this application to express your interest in joining the GBH Youth Advisory Council. Please answer to the best of your ability
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
My gender pronouns are *
Regardless of citizenship, I ethnically identify as
If you selected “Other” above, or would like to offer details regarding your cultural diversity, please share
Your answer
Do you speak any other language besides English?
Your answer
If yes, please specify which languages, and your level of proficiency.
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship to you *
Your answer
Emergency Contact Phone Number *
Your answer
Why are you interested in joining the Youth Advisory Council? *
Your answer
What are you good at? Describe the skills you hope to bring to the Youth Advisory Council. *
Your answer
What year did you finish your GBH After School or Sunday Workshop? *
Your answer
As a GBH alumni, what area of our work would you like to help/advise the Council with? *
Required
What is something you would like to see happen at Girl Be Heard? Describe the steps you and/or the organization can embark on to reach that goal. *
Your answer
Are you interested in promoting/speaking on behalf of GBH at events? *
Your answer
Are you an Active Performer? Would you like to be an Active Performer? *
Please comment on any time commitments for the upcoming year. *
Your answer
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