Young Advocates Institute Advisory Council

Important Information

We appreciate your interest in serving as a member of the Mississippi Coalition Against Sexual Assault's Young Advocates Institute Advisory Council. If you have any additional questions, please do not hesitate to contact Deidre Johnson at 601.317.2074 or via email at yais@mscasa.org.

Before applying to serve on the Young Advocates Institute Advisory Council, please remember the following information and dates:

Selected council members will serve for a one (1) year term and are expected to:

Attend monthly meetings/conference calls held every third Saturday of the month.
Help plan and implement the Young Advocates Institute.
Assist with the marketing and social media relations related to the Young Advocates Institutes.
Research, design and/or help lead youth-specific trainings.

The Advisory Council application deadline is Friday, October 7, 2016. The selected Young Advocates Institute Advisory Council members will be announced on Friday, October 14, 2016.

Question Title

* 1. Contact Information:

Name:

Email Address:

Phone Number:

Address:

Age:

T-Shirt Size:

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* 2. Education: Please provide the following information for the middle or high school you currently attend.

School Name:

City:

State:

Grade:

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* 3. Parent/Guardian Contact Information:

Parent/Guardian Name:

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Email Address: