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Youth Advisory Council Interest Form
Rhode Island Department of Health Youth Advisory Council Interest Form
Want to learn more about the YAC? Fill out this short form and someone will get back to you with additional information.
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1.
How did you learn about the RIDOH Youth Advisory Council?
Friend
Teacher or School staff
Parent
Social Media (Twitter, Facebook)
Flyer
Dare to Dream Youth Leadership Conference
Other (please specify)
2.
Are you a young adult between the ages of 14-23?
Yes
No
3.
Are you a professional who works with youth and would like to learn more about our program?
Yes
No
4.
What is the best way to contact you?
5.
What is your name?
6.
What is your email ?
7.
The first Youth Advisory Council meeting of the year is on September 18, 2025 from 4:00-5:00.
Register at this link
Yes
No
8.
Are you interested in participating in the Dare to Dream Conference at the University of Rhode Island in May 2026?
Yes
No
Maybe
Current Progress,
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