YLT: Application
Thank you for your interest in joining CAN Coalition'sΒ Youth Leadership Team! We are thrilled to be honoring the work of notable members of our LGBTQ+/Queer culture through Community, Leadership, Service, Prevention, Learning, and Pride πŸ³οΈβ€πŸŒˆ

Description: This group welcomes all Los Angeles LGBTQ+/Queer and Allied high school youth ages 14-18
  • Location:Β Please Submit Application
  • Date:Β Every Other Thursday
  • Time: 5:00PM - 6:00PM (Virtual);Β 5:00PM - 6:30PM (In Person)
Follow us on Instagram: @cancoalitionla

CONFIDENTIALITY: All information provided on this form will be kept strictly confidential and used for internal purposes only
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Email *
Legal Last Name, First Name 😊 *
Example: Hernandez, Alex
Chosen Last Name, First Name 😊 *
Example: Hernandez, Ash
Date of Birth 🐣 *
You must be between the ages of 14-18 to apply
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Pronouns or Neopronouns πŸ’›
Example: They/Them/Theirs
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