Youth Voice Advisory Council Application
The following is the Youth Voice Advisory Council application. You must be over the age of 18 and have lived experience with housing struggles. You must provide at least two references (these are adults that recommend that you should be members of this council). You will be providing feedback to The H.O.M.Y. Collective - Helping Our Miami-Dade Youth, a collaborative of over 80 organizations that seek to prevent and end youth homelessness. You will attend a monthly meeting to discuss H.O.M.Y.'s strategies, partner agencies, and ideas.

*****Note: To maintain active membership on the YVAC and to be eligible for trips and service hours, I agree to the following:

• Attend monthly meetings regularly
• Arrive on time and remain for the duration of meetings
• Respond in a timely manner to correspondence, and
• Participate in other scheduled activities unless an excused absence is obtained.

Failure to do so and/or excessive excused absences will result in termination of membership.

Email address *
Please write below the names and contact information (phone and email) of your references:
Your answer
Full Name with Preferred Name (Nickname)
Your answer
Preferred Pronouns (He/him, She/her, They/them)
Your answer
Date of Birth
MM
/
DD
/
YYYY
How did you hear about us?
Your answer
Contact Information: Phone, Email, and Place of Residence
Your answer
Parent/Guardian/Case Manager
Your answer
Are you currently enrolled in school? If yes, which school and what grade?
Your answer
Are you currently employed?
Are you currently in safe and stable housing?
Your answer
Do you have regular transportation to attend meetings?
What is your preferred communication mode (text/phone/email)?
I currently participate in the following academic, extracurricular, community or volunteer activities. (Briefly describe your role/title in the club/activity)
Your answer
The richness of your experience with The Youth Voice Advisory Council depends on you. Commitment and service are expected; your leadership, ideas and creativity are invited. Respond to the following: “My intentions for myself and for the YVAC for the coming year are…
Your answer
I am interested in serving on the Youth Voice Advisory Council (YVAC) because of the following reasons:
Your answer
Name several key traits of an effective leader and advocate? Which one is the most important one to you? (Be specific)
Your answer
Who is someone you admire? Why do you admire them?
Your answer
What are your life's goals and the values that are important to you?
Your answer
I have read and agree to the Youth Voice Advisory Council Pledge.
Please electronically sign with your full name and today's date.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service