* Home Address
Permanent telephone number
* Permanent telephone number
Please copy and paste your resume or CV below. If you prefer to submit your resume or CV in Word or PDF format, please type "Attachment" in the field below and then send the document to firstname.lastname@example.org.
What currently takes up your time (e.g., school, work, parenting, etc.)? How many hours per week could you set aside for participation in the YCRH?
What challenges do you see facing youth in your community?
How do you see the YCRH contributing to the broader conversation on youth health?
What are the ways the YCRH could contribute to the broader conversation on youth health (e.g., advocacy, campaigns, conferences, information dissemination, etc.)?
What makes you uniquely qualified to be a part of the YCRH?
Describe your leadership qualities and past experiences in leadership roles. How do you see yourself contributing to the YCRH?
What are the areas of youth health that you are primarily interested in addressing within the YCRH (e.g., health policy, poverty, environment, etc.)?
If you were given an unlimited amount of money and resources to create one project to drive change for youth health, what would you do?
Is there any other information relevant to your work in this area or your desire to be a YCRH member that you would like to share?
How did you hear about the YCRH?