Coalition for a Tobacco-Free Hawaii Youth Council application form
To be eligible you must be a student in middle, high school or college and be willing to meet the expectations listed at hiphi.org/youth. Applications are accepted year-round.
Name *
First and last name
Email (Note: Some School Email Accounts Block Emails From Outside Sources) *
Cell Phone Number *
Street Address *
City *
Zip Code *
School *
Graduation Year *
Why are you interested in being part of the Youth Council? *
What other activities are you involved with?
Shirt Size (Adult)
Clear selection
Submit
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