Youth Advisory Board Interest Survey

Thank You!!!!

It was wonderful meeting you at the NCL Presentations last weekend. Thank you for your interest in the Montgomery County Women's Center Youth Advisory Board. Please fill out the following survey so that we can begin planning our first meeting in February!!

If you know someone else who might be interested in being a part of the Youth Advisory Board please have them contact Melanie Jackman @ melaniej@mcwctx.org or (936) 441-4044.

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* 1. Please mark all days that you would be able to meet with the Youth Advisory Board.

Monday

Tuesday

Wednesday

Thursday

Friday

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* 2. Please mark all the times you would be able to meet with the Youth Advisory Board.

3:00-4:00pm

3:30-4:30pm

4:00-5:00pm

4:30-5:30pm

5:00-6:00pm

Please list specific times YOU ARE AVAILABLE for each day, if you have restrictions.

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* 3. Do you have a way to get to meetings held at Montgomery County United Way building 1600 Lake Front Cir., Woodlands, TX 77380

Yes

No

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* 4. Are you willing to commit to meeting once a month?

yes

no

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* 5. What is your first and last name?

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* 6. What grade are you in?

7

8

9

10

11

12

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* 7. What school do you go to?

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* 8. What is your phone number?

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* 9. What is your email address?

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* 10. Why are you interested in being a part of the Youth Advisory Board?