2021-2022 Youth Alliance for a Healthier Alaska (YAHA)

This digital form is an application for 2021-2022 YAHA membership.  The State of Alaska is seeking collaboration with 10 young people (ages 14-21)  from across Alaska that are dedicated, resourceful, and creative, to advise the Alaska Division of Public Health on issues affecting teens such as health equity, poverty, racism, violence, suicide, injury, teen pregnancy, nutrition, and  fitness.  For this session, members will collaborate on a statewide community action project focused on sexual and reproductive health, and mental health. 

The completed application, supporting materials, signature page and a letters of recommendation are due May 31, 2021 no later than 5:00 p.m. to the WCFH office (as submitted here or by hand delivery, mail, fax, or email for the letters of recommendation). 
1. Demographics and Meeting Dates Agreement (Page 2)
2. Complete Answers to YAHA Membership Questions (Page 3)
3. Youth & Parent Signature Page (Page 4)
4. 2 References- School Administrator or Teacher and Community Member (Page 5)

Completed application (pages 2-6) are due no later than Monday, May 31, 2021 at 5:00 p.m. AKST

If you have questions, please reach out to
Youth Alliance for a Healthier Alaska
Facilitator: Jennifer Baker
Alaska Division of Public Health
Women’s, Children’s & Family Health
3601 C Street, Suite 322
Anchorage, AK 99503
Fax: 907 269-3465
Phone: 907 269-4517
Email: jennifer.baker@alaska.gov

Question Title

YAHA Syllabus- Page 1 of 2

YAHA Syllabus- Page 1 of 2

Question Title

YAHA Syllabus- Page 1 of 2

YAHA Syllabus- Page 1 of 2
 
11% of survey complete.

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