TYA for Tobacco Control Advisory Council Interest Questionnaire

This short questionnaire allows you to express why you are interested in serving on the Advisory Council of the Tribal Youth Ambassadors for Tobacco Control Project and collects some information that allows Project staff to contact you with more details.

Someone will follow-up with you within 5 business days after you submit your questionnaire.

Thank you for your interest. We appreciate your responses. Yahwi!

Question Title

* 1. Our Advisory Council seeks to have different ages represented on it. To what age group do you belong or identify as? (For example, you may be 55 and be consider an elder)

Youth (ages 11 to 17)

Youth (ages 18 to 24)

Adult (ages 25 to 64)

Elder (ages 65+)