2023 Youth Advisory Committee Application

Thank you for your interest in applying to be a part of our Youth Advisory Committees for ages 12-24. The next step in the process is to complete the following application. Please answer each question as you, the youth applicant.

If you have any questions at any point, please reach out to Stelianos Canallatos at SCanallatos@NYCPG.org or at 518-573-6727.

Applicant Eligibility

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* 1. Are you (youth) located in New York State?

Yes, I am located in New York State.

No, I'm not.

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* 2. Are you available in the evening on at least 10 of the following dates?

Thursday April 6, 2023

Thursday April 20, 2023

Thursday May 4, 2023

Thursday May 18, 2023

Thursday June 1, 2023

Thursday June 15, 2023

Thursday June 29, 2023

Thursday July 13, 2023

Thursday July 27, 2023

Thursday August 10, 2023

Thursday September 21, 2023

Thursday October 19, 2023

*Times for the 3 committees are 4:30pm for age 12-14, 6:OOpm for age 15-17, and 7:30pm for age 18-24.

Yes, I'm available on at least 10 of these dates in the evening.

No, I'm not available for at least 10 of these dates.

Applicant Background Information

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* 3. Your Name:

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* 4. Your Age:

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* 5. In which county do you live?

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* 6. What is the race and/or ethnicity you identify most closely with. You may select more than one.

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* 7. I identify as:

Male

Female

Prefer not to say

Other (please specify)

Applicant Understanding of Leadership

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* 8. How would you define leadership?

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* 9. Why is leadership important to you?

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* 10. Why do you want to have a positive influence in your local school, community, and New York State?

Applicant Contact Information

2023 Youth Advisory Committee Application

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* 1. Are you (youth) located in New York State?

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* 3. Your Name:

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* 4. Your Age:

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* 5. In which county do you live?

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* 6. What is the race and/or ethnicity you identify most closely with. You may select more than one.

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* 7. I identify as:

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* 8. How would you define leadership?

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* 9. Why is leadership important to you?

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* 10. Why do you want to have a positive influence in your local school, community, and New York State?

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* 11. Parent or guardian's name (if applicant is under 18):

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* 12. Contact Phone Number:

Applicant cell or home number if age 18 or older.

Parent/guardian cell or phone number if age 17 or younger.

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* 13. Contact Email Address:

Applicant email if age 18 or older.

Parent/guardian email if age 17 or younger.

2023 Youth Advisory Committee Application

Question Title

* 1. Are you (youth) located in New York State?

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* 3. Your Name:

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* 4. Your Age:

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* 5. In which county do you live?

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* 6. What is the race and/or ethnicity you identify most closely with. You may select more than one.

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* 7. I identify as:

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* 8. How would you define leadership?

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* 9. Why is leadership important to you?

Question Title

* 10. Why do you want to have a positive influence in your local school, community, and New York State?

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* 11. Parent or guardian's name (if applicant is under 18):

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* 12. Contact Phone Number: Applicant cell or home number if age 18 or older. Parent/guardian cell or phone number if age 17 or younger.

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* 13. Contact Email Address: Applicant email if age 18 or older. Parent/guardian email if age 17 or younger.

* 12. Contact Phone Number:

Applicant cell or home number if age 18 or older.

Parent/guardian cell or phone number if age 17 or younger.

* 13. Contact Email Address:

Applicant email if age 18 or older.

Parent/guardian email if age 17 or younger.