Youth Leadership Team New Member Application

New Members: The Marion-Polk System of Care (SOC) Youth Leadership Team welcomes applications for new youth members who have a passion for helping to create positive change in the Marion County and Polk County region. We want young people dedicated to discussing what is going well (and what's not) in the community, helping develop effective solutions for challenges young people face while trying to access needed services and supports, and sharing youth-identified priorities with the other System of Care teams and the broader community.

The Youth Leadership Team is one team, out of five, that makes up the large network of the the System of Care. A whole array of community health professionals and family members make up the additional teams!

Expectation: Members will be expected to actively engage in team meetings and bring their expertise, creative mind, and ability to work together each month. (INSERT COMMITMENT IMPORTANCE)

Note: Information shared within this application will not be shared with others outside of those reviewing applications.

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1. Name (Required.)

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2. Preferred Pronouns

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3. Age (Required.)

15-17

18-21

22-25

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4. Date of Birth

Date / Time

Date

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5. Are you currently enrolled in school? (Required.)

Yes

Working on it and need help

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6. If you answered the last question "Yes", what school do you attend?

We want to get to know you! Please answer the following questions so we can get an idea of who you are, why you are interested in our team, and what your bring to the table.

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7. Why would you like to be a part of the Youth Leadership Team? (Required.)

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8. What skills or perspectives do you feel you could bring to this team? (Required.)

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9. How would you describe yourself? (Required.)

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10. What does a leader look like to you? (Required.)

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11. What challenges do you see youth/young people experiencing right now? (Required.)

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12. [Insert values acknowledgement]

Leadership, connecting within the community, and public speaking (on a variety of scales) are all apart of the work we do on the Youth Leadership Team. While these are not required skills, we would love to get an idea of your skillset.

Youth Leadership Team New Member Application

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1. Name (Required.)

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2. Preferred Pronouns

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3. Age (Required.)

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4. Date of Birth

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5. Are you currently enrolled in school? (Required.)

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6. If you answered the last question "Yes", what school do you attend?

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7. Why would you like to be a part of the Youth Leadership Team? (Required.)

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8. What skills or perspectives do you feel you could bring to this team? (Required.)

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9. How would you describe yourself? (Required.)

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10. What does a leader look like to you? (Required.)

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11. What challenges do you see youth/young people experiencing right now? (Required.)

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12. [Insert values acknowledgement]

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13. What skills will you bring to our team? (Required.)

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14. What skill do you look forward to working on? (Required.)

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15. Phone (Required.)

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16. Email (Required.)

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17. Is there anything else you would like us to know?

Youth Leadership Team New Member Application

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* 1. Name (Required.)

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* 2. Preferred Pronouns

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* 3. Age (Required.)

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* 4. Date of Birth

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* 5. Are you currently enrolled in school? (Required.)

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* 6. If you answered the last question "Yes", what school do you attend?

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* 7. Why would you like to be a part of the Youth Leadership Team? (Required.)

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* 8. What skills or perspectives do you feel you could bring to this team? (Required.)

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* 9. How would you describe yourself? (Required.)

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* 10. What does a leader look like to you? (Required.)

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* 11. What challenges do you see youth/young people experiencing right now? (Required.)

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* 12. [Insert values acknowledgement]

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* 13. What skills will you bring to our team? (Required.)

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* 14. What skill do you look forward to working on? (Required.)

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* 15. Phone (Required.)

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* 16. Email (Required.)

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* 17. Is there anything else you would like us to know?

1. Name (Required.)

2. Preferred Pronouns

3. Age (Required.)

4. Date of Birth

5. Are you currently enrolled in school? (Required.)

6. If you answered the last question "Yes", what school do you attend?

7. Why would you like to be a part of the Youth Leadership Team? (Required.)

8. What skills or perspectives do you feel you could bring to this team? (Required.)

9. How would you describe yourself? (Required.)

10. What does a leader look like to you? (Required.)

11. What challenges do you see youth/young people experiencing right now? (Required.)

12. [Insert values acknowledgement]

13. What skills will you bring to our team? (Required.)

14. What skill do you look forward to working on? (Required.)

15. Phone (Required.)

16. Email (Required.)

17. Is there anything else you would like us to know?