Friday Night Live Program

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The Friday Night Live Program is looking for HMB high school students to join our program. We are seeking students who are interested in making change on campus and in their community. Youth will lead a social media campaign on social, emotional, and physical impacts that alcohol and other drugs have on individuals. Youth may choose between a stipend or community service hours for their contribution. Program runs between September 2024 - May 2025. For more information, email Rubi Salazar at rsalazar@yli.org

First Name *

Last Name *

Pronouns *

Birthday (00/00/0000) *

YYYY

Email *

Phone Number (000) 000-0000 *

Home Address

School/Grade (if applicable)

Why do you want to join the Friday Night Live Coastside Youth Council Program? *

If accepted into the program, would you like to receive a stipend or community service for your participation? *

Stipend

Community Service

OPTIONAL: What is your gender?

OPTIONAL: Which of the following best describe you? (Check all that apply)

Asian

Black or African American

Hispanic or Latino

Middle Eastern

Native American or Alaskan Native

Native Hawaiian or Pacific Islander

White or Caucasian

A race/ethnicity not listed here

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