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
Your answer
Email *
Your answer
Cell Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
School *
Your answer
Graduation Year *
Your answer
Why are you interested in being part of the Youth Council? *
Your answer
What other activities are you involved with?
Your answer
Shirt Size (Adult)
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