Youth Leadership Coalition Contact Interest Form - an initiative of the Nebraska Coalition to End Sexual & Domestic Violence

Those interested in joining the Young Leaders Coalition are asked to complete the information below.

Are you a young person (12-24 years old) interested in preventing and ending violence in your community? If the answer is "YES!" we want you to know about the Youth Leadership Coalition, an initiative from the Nebraska Coalition to End Sexual & Domestic Violence.

This opportunity brings youth from across Nebraska together for connection, education, and exploration. Together youth and caring adults will learn skills to build healthy relationships and address violence in their relationships. This group will work together to create future opportunities for youth and communities to engage in the movement to end violence. The future efforts will be designed and implemented by those involved and we hope you will bring your strengths to Young Leaders Coalition!

Will you join us? Start by filling out the form below!

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* 1. Name:

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* 2. Pronouns (example: she/her/hers, he/him/his, they/them/theirs):

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* 3. Age:

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* 4. Email:

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* 5. Phone:

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* 6. Is it okay to TEXT this phone number?

Yes

Other (please specify)

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* 7. Tell us more about your interest in the movement to end violence:

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* 8. What are some of the strengths and skills that you bring to the movement to end violence?

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* 9. How would you like to be involved with the Nebraska Coalition?

Email List: Put me on Youth Engagement email list to learn more about different opportunities.

Organizing Efforts: Work with other youth and Coalition staff to develop efforts to end violence and promote wellbeing.

Social Media Content: Help us in creating and sharing content via virtual spaces to engage others in the movement to end violence!

Arts & Writing: Utilize your creative talents to promote messages of non-violence and wellness.

Event: Work with others to hold events to spread awareness and engage others in the movement to end violence.

Testifying: Use your voice to support efforts to end violence and promote healing. This could include local, state and federal efforts related to proposed legislation and policies.

Other (please specify)

Youth Leadership Coalition Contact Interest Form - an initiative of the Nebraska Coalition to End Sexual & Domestic Violence

Those interested in joining the Young Leaders Coalition are asked to complete the information below.

Question Title

* 1. Name:

Question Title

* 2. Pronouns (example: she/her/hers, he/him/his, they/them/theirs):

Question Title

* 3. Age:

Question Title

* 4. Email:

Question Title

* 5. Phone:

Question Title

* 6. Is it okay to TEXT this phone number?

Question Title

* 7. Tell us more about your interest in the movement to end violence:

Question Title

* 8. What are some of the strengths and skills that you bring to the movement to end violence?

Question Title

* 9. How would you like to be involved with the Nebraska Coalition?

Question Title

* 10. What else would you like us to know about yourself and how we can support your efforts?