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SOGI YAC Membership Application

Thank you for your interest in becoming a member of the Sexual Orientation and Gender Identity Youth Advocacy Council (SOGI YAC). Please fill out the membership form below and submit your application to the board for review.
First Name
Last Name
Preferred Pronouns
Contact Information
Primary Daytime Phone Number
Number to Receive Texts
Primary Email
Secondary Email
Employer
Job Title
Reason interested in being a member of SOGI YAC.
Do you have any legal sanctions prohibiting you from contact with minor children (such as being listed on a Sex Offender Registry)? (Required.)