Applicant Information

The Prevention Coalition of Greater Prince William works to promote wellbeing and prevent and reduce substance use and suicides in our community. The Coalition is seeking youth members to support this mission. Youth members will become part of a diverse, intergenerational team of creative leaders and courageous action people and allies for prevention services.

Our Mission: The Youth Council works collaboratively to prevent and reduce substance use and improve mental wellbeing in the Greater Prince William area.

Our Vision: The Greater Prince William Area will be a community where people live, work and play in a safe and drug-free community.
 
Potential youth members should:
  • Be able to serve a 1 Year term and attend monthly meetings in the evening.
  • Be a resident of Prince William County, City of Manassas or Manassas Park.
  • Be a rising Freshman, Sophomore, Junior or Senior in school.
  • Demonstrate a willingness to be involved in substance use and suicide prevention and mental health promotion.
The deadline for applications is October 15, 2021. Applicants will receive confirmation emails from thepreventioncoalitionofgpw@gmail.com and csbhwteam@pwcgov.org. Prince William County Community Services and members of the Prevention Coalition of Greater Prince William will hold virtual interviews with all applicants.

 

Question Title

* 1. First Name:

Question Title

* 2. Last Name:

Question Title

* 3. Date of Birth:

Date

Question Title

* 4. Preferred Pronouns:

Question Title

* 5. Race or Ethnicity

Question Title

* 6. Please list the languages you speak.

Question Title

* 7. School Attending in Fall 2021:

Question Title

* 8. School Grade Level in Fall 2021:

Question Title

* 9. Please provide the following contact information

Question Title

* 10. Please include links to your personal Facebook, Twitter, LinkedIn, Instagram, YouTube, website/blog or other social media/online platforms/accounts.

Question Title

* 11. Please list your parent or guardian's name and contact information.

Question Title

* 12. Emergency Contact if different than parent/guardian:

T