CO9to25 Community Connector Application

Question Title

* 1. Please provide your contact information.

Name *

Organization/Coalition *

Address

Address 2

City/Town *

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

Question Title

* 2. Have you read the overview document that explains the role of a CO9to25 Community Connector? Do you feel like you have a clear understanding of the role and associated expectations and opportunities? What questions do you have?

Question Title

* 3. You may define the geographical community that you represent as a Community Connector -- this could be a city, town, county, region depending on what's appropriate for your role, connections, and influence. What is the geographical community that you plan to represent as a Community Connector (i.e. name of town/county/region)?

Question Title

* 4. Please describe your role in your community and how you will use your role to connect CO9to25 and your community. What official or informal positions do you hold that connect you to youth-related collaborative efforts in your community?

Question Title

* 5. Please describe your interest in being a CO9to25 Community Connector. What do you hope to gain from the role and what do you hope to contribute?

Question Title

* 6. How did you hear about CO9to25 Community Connectors?

Question Title

* 7. To inform scheduling, please provide the time(s) of day that are generally best for you to participant in the quarterly phone call/webinar?

Early morning (8am-10am)

Mid-morning (10am-12pm)

Mid-day (12pm-2pm)

Early afternoon (1pm-3pm)

Late afternoon (3pm-5pm)

Evening (5pm-7pm)

All times of the day are similarly good for me!