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25-26 YAB New & Returning Member Application

Youth Advisory Board
To our new members:
Thank you for your interest in our Youth Advisory Board for the 2025-2026 school year. We are looking forward to reviewing your application. Please take the time to complete this application to the best of your ability. Your desire to help your school and fellow youth is greatly valued and will help shape our activities moving forward.

To our returning members:
Thank you for being a part of our Youth Advisory Board this past 2024-2025 school year. We are looking forward to welcoming you back for the 2025-2026 school year. Please take the time to fill out this form and inform us if you are returning this year. Your input is greatly valued and will help shape our activities moving forward.
Please note: All YAB meetings are virtual via Zoom!
1.Student First Name:(Required.)
2.Student Last Name:(Required.)
3.Student School Email: (Required.)
4.Student Personal/Alternate Email (school emails sometimes bounce back to us):(Required.)
5.Student Age:(Required.)
6.Date of Birth:(Required.)
7.What school do you attend? (Required.)
8.Parent Name: (Required.)
9.Parent Email:(Required.)
10.Please Rewrite Parents Email:
11.What county do you live in? (Ex: Atlantic County, Cape May County, Gloucester County, Cumberland County, Salem County, Burlington County, Camden County)(Required.)
12.Home Address & Zip-code:(Required.)
13.Parent Phone Number:(Required.)
14.School Counselor Name:(Required.)
15.School Counselor Email:(Required.)
16. Grade Level 2025-2026:(Required.)
17.Are you a new or returning member? (Required.)
18.What is the best day of the week for meetings?(Required.)
19.What is the best time after school to meet virtually?(Required.)