Applicant Information

The Prevention Coalition of Greater Prince William works to promote well-being 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 well-being 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, the City of Manassas, or Manassas Park.
  • Be a Freshman, Sophomore, or Junior.
  • Demonstrate a willingness to be involved in substance use and suicide prevention and mental health promotion.
The deadline for applications is March 1, 2023. 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.

 

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* 1. First Name:

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* 2. Last Name:

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* 3. Date of Birth:

Date

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* 4. Preferred Pronouns:

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* 5. Race or Ethnicity

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* 6. Please list the languages you speak.

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* 7. School Attending in 2023:

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* 8. School Grade Level in Spring 2023:

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* 9. Please provide the following contact information

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

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

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

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