Teens In Action Youth Nomination Form
Teens in Action, created by the Carlsbad Community Anti Drug\Gang Coalition, is looking for recommendations of youth to join a "Youth Council," where they will actively contribute to a healthier community while building connections with community leaders. Youth Council members will develop and build prevention campaigns in our community to address topics such as substance abuse and underage drinking.
Email *
What is the full name of the youth that you would like to nominate? *
How old is the youth? *
What school do they attend and what grade are they currently enrolled in? (Example: JMA, 9th Grade) *
What extracurricular activities is the youth currently involved in? If unknown, please write "unknown." *
Why do you feel that this youth is a good candidate for the Youth Council? Please be as detailed as possible. Thank you! *
What is the e-mail address and phone number that we can use to contact the youth in case their nomination is approved? (Example: myemail@email.com, 575-999-9999) *
Finally, what is your name, e-mail address, and phone number so that we can thank you? (Example: Jane Smith, JSmith@femail.com, 575-999-9999) *
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