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New York State Youth Advocates Program
Alliance of New York State YMCAs
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1.
First Name
(Required.)
*
2.
Last Name
(Required.)
3.
Your Email Address
4.
Your Phone Number
*
5.
Your YMCA
(Required.)
*
6.
Your School
(Required.)
*
7.
Current Grade in School
(Required.)
6
7
8
9
10
11
12
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8.
If you are a participant in the YMCA Youth And Government Program, please indicate which District you are from. If you are a Middle School participant, or do not participate, please choose that option. You do not need to participate in Youth And Government to be a part of the Youth Advocates Program.
(Required.)
I am a Middle School Participant
I am not a Youth And Government Participant
1 - Rochester
2 - Capital District
3 - Silver Bay
4 - Rockland/Nyack/Pearl River/White Plains/Middletown
5 - NYC
6 - Homer
7 - William Floyd High School
8 - Buffalo
9 - Center Moriches/Southampton
10 - Syracuse
11 - Genesee Valley
12 - Glen Cove
13 - Elmira
14 - Freeport
Other
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9.
Why are you interested in becoming YMCA Youth Advocate?
(Required.)
Current Progress,
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