Youth Action Board Member Application

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Thank you for your interest in being a part of the Youth Action Board! Please email azhaliaramirez@closetohomesa.org for more information and the latest application form.

Thank you!

Email *

Full name *

My pronouns are: *

Phone number *

Affiliated agency (if applicable) *

Residency or shelter address

Include shelter name (if applicable), address, city, state and zip-code.

Address, city, state and zip-code *

Shelter name (if applicable)

Have you experienced homelessness? *

Yes

Prefer not to disclose

Are you currently experiencing homelessness? *

Yes

Prefer not to disclose

Would you like to be considered for a leadership position? *

Yes

How did you learn about the Youth Action Board? *

Social media

E-mail

Other:

Please tell us why you would like to join the Youth Action Board? *

Will you be able to attend monthly meetings and other events? *

Yes

Submit

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