Pacific Region Native Youth Food Sovereignty Summit Application
Thank you for your interest in attending the Pacific Region Native Youth Food Sovereignty Summit, organized by Intertribal Agriculture Council and hosted by the Humboldt Del Norte County Tribes and sponsored by NRCS. This year's event is open to high school and college aged youth and will be held September 18-22, 2019, in Hoopa, CA.

PLEASE NOTE: Your answers to this document will not be saved, should you leave this web page. You will receive a notification verifying that your answers have been saved upon complete submission of your application.

The review committee looks forward to receiving your application and learning more about your interest in food and agriculture. Applications will be accepted on a rolling basis until all seats at the event have been filled. We encourage you to apply ASAP to be considered for a travel scholarship opportunity.

For all questions, please contact:
Azelya Yazzie at or (619) 717-1603
Zach Ilbery at or (918) 568-0303
First Name *
Last Name *
Age *
Date of Birth *
What Tribe are you affiliated with? *
Mailing Address *
Mailing Address City *
Mailing Address State *
Mailing Address Zip Code *
E-mail Address (Please use a personal e-mail address, and not that of a teacher/parent/etc. We will utilize this form of communication the most, so make sure it is an account you'll have access to!) *
Confirm E-mail Address *
Cell Phone *
Home Phone
Gender *
Adult T-Shirt Size (XS, S, M, etc.) *
Preferred method of contact? *
What social media outlets do you use? (Select all that apply) *
How did you hear about this opportunity? *
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