Youth voice is vital to the field of school-based health care in New Mexico. The NMASBHC Youth Health Advisory Group is a youth-led service group that gives New Mexican youth, age 14-21, the opportunity to share their expertise on important health topics, advocate for school-based health centers and services, advance health care access for their peers, cultivate knowledge about public health and health care and serve as a change agent by engaging in a service project in their community.

For priority consideration, applications are due by Friday, April 22nd, 2022. After completion of the application, please have a parent/guardian review and sign this form and email to wilma@nmasbhc.org. For information about the group, visit the NMASBHC website at: https://www.nmasbhc.org/about/youth-health-advisory/

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* 1. Please share your contact information

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* 2. What is your DOB?

Date

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* 3. What school do you currently attend?

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* 4. What is your expected graduation year (from high school)?

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* 5. Have you personally utilized a SBHC? 

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* 6. Tell us about your extracurricular activities (involvement in sports, clubs, programs, volunteer, jobs, internships, etc.)

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* 7. Please rank these topics in order of interest

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* 8. Are there any other topics not listed above?  

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* 9. What health-related concerns do you have about your community? 

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* 10. What would you most like to get out of your involvement in this group? 

Group Information and General Expectations
  • Participation is the program is completely voluntary.
  • Participation in the group will involve attending two (2) meetings per month (in-person and/or virtually through Zoom), awareness events and/or community engagement events.
  • Youth will have an opportunity to receive gift cards for participation.
  • Participation of youth under the age of 18 requires a Parent or Legal Guardian review and consent to participate.
  • NMASBHC requests a one-year commitment from selected students, with the opportunity to reapply in future years.
For more information, read the FAQs here or visit the NMASBHC website at: https://www.nmasbhc.org/about/youth-health-advisory/

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* 11. Are you able to meet these expectations?

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* 12. Please provide a reference. 

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* 13. Any additional comments

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