Juvenile Advisory Council Application

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Date of Birth (to be eligible for the JAC you must be between the ages of 17 and 25 years old)

Select your birthdate

Date

Question Title

* 4. Address

Question Title

* 5. Email Address

Question Title

* 6. Cell Phone Number

Question Title

* 7. Do you speak any languages other than English?

Arabic

Burmese

Haitian Creole

Mandarin Chinese

Spanish

Other (please specify)

Question Title

* 8. How did you hear about the Juvenile Advisory Council?

Question Title

* 9. Please briefly describe how you have been involved with the juvenile justice system. Note: some level involvement is required to be eligible for the JAC)

Question Title

* 10. Why are you interested in supporting justice-involved youth and their families?

Question Title

* 11. How will you help us improve the juvenile justice system and the experience of youth and their families with the system?

Question Title

* 12. Please describe a few situations where you used your leadership skills or inspired someone to make the right decision.

Question Title

* 13. What do you wish someone had told you or done for you to prevent you from becoming involved with the juvenile justice system? Are you ready to convey that message to youth?