2022-2023 Youth Advisory Council Application

Thank you for your interest in joining the DC Health Youth Advisory Council (YAC). We look forward to reviewing your application for participation. The 2022-2023 Youth Advisory Council applications are due by 5:00pm on Friday, July 22, 2022. All information provided on the application will be kept confidential and used strictly for hiring purposes.

If you have any questions, please feel free to contact Mr. Kamil Quander and or Ms. LaShawn Robinson at DCHealthYAC@dc.gov

Purpose of the YAC:
•To provide a youth perspective on related health topics presented by the Maternal and Child Health Advisory Board.
•Ensure activities of DC Health continue to meet the needs of young people in the District of Columbia.
•To develop young leaders with critical thinking abilities who can share their knowledge and skills with the community.
•To develop and lead projects that influence the positive development of their community and those who reside in it.

Benefits to YAC members:
•Members will be trained in a wide variety of topic areas including health promotion, prevention, advocacy, and program planning.
•Members will gain invaluable professional experience and exposure to a range of professionals in public health, while aiding in the positive development of District youth.
•Members will create and lead local advocacy efforts
•Members will increase their knowledge of key public health policies and concepts.
•Members will receive a travel voucher for each completed YAC activity.
•Members will receive a stipend based upon attendance and participation.

Requirements of YAC members:
1. Applicants must be a 9th – 12th grade student, currently enrolled in a DC Public School or DC Public Charter School.
2. Members must commit to 10 months with the option for a summer internship following the first year of service.
3. Members must commit to a one-day orientation in August 2022.
4. Members will meet every Tuesday from 5pm to 7pm for approximately 2 hours (additional hours may be required for projects, which may include up to 25 hours some months).

Application Checklist:
•Completed Youth Advisory Council (YAC) 2022 – 2023 application
•Responses to four (4) short answer questions
•Submit application by 5:00pm on Friday, July 22, 2022.

If you have any specific questions, contact Mr. Kamil Quander at (202) 754-2387 or Ms. LaShawn Robinson at (202) 794 – 0858. General questions can be answered by emailing DCHealthYAC@dc.gov.

Application Timeline:
Round 1 – YAC Application Deadline: Friday, July 22, 2022
Round 2 – YAC Interviews: Rolling Basis
Round 3 – YAC Acceptance Period: Rolling Basis
Round 4 – YAC Kickoff/Meet and Greet: August 2022
Round 5 – YAC Orientation: August 2022

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* 1. Full Name (First name, Last name):

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* 2. Home Address (Street, City, State, Zip Code):

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* 3. Age:

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* 4. Date of Birth (MM/DD/YYYY) :

Date / Time

Date

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* 5. What Ward do you live in? (Ward 1-8)

Ward 1

Ward 2

Ward 3

Ward 4

Ward 5

Ward 6

Ward 7

Ward 8

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* 6. Best method to reach you?

Home Phone

Cell Phone

U.S Postal Mail

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* 7. Contact Information

Home Phone Number:

Cellphone Number:

Email Address:

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* 8. Gender:

Male

Female

Non-Binary

Other

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* 9. Social Media Accounts (Facebook, Instagram, Twitter)

Facebook

Instagram

Twitter

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* 10. Name of School:

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* 11. This school is a ___________________________.

DC Public School

DC Public Charter School

Other

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* 12. This coming fall I will be entering the __________________ grade.

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* 13. A trusted adult at your school whom you would like to serve as your YAC liaison.

Full name:

Email:

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* 14. Parent/Guardian Information

Parent/Guardian Name:

Parent/Guardian Email address:

Parent/Guardian Phone number:

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* 15. Interests and Hobbies:

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* 16. How did you hear about us?

Short Answer Questions

Please help us get to know you by answering the following questions in 1-2 paragraphs. Remember, your answers are for the sole purpose of getting to know you and will not be used as an evaluation of your writing ability.

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* 1. Full Name (First name, Last name):

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* 2. Home Address (Street, City, State, Zip Code):

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* 3. Age:

Question Title

* 4. Date of Birth (MM/DD/YYYY) :

Question Title

* 5. What Ward do you live in? (Ward 1-8)

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* 6. Best method to reach you?

Question Title

* 7. Contact Information

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* 8. Gender:

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* 9. Social Media Accounts (Facebook, Instagram, Twitter)

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* 10. Name of School:

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* 11. This school is a ___________________________.

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* 12. This coming fall I will be entering the __________________ grade.

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* 13. A trusted adult at your school whom you would like to serve as your YAC liaison.

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* 14. Parent/Guardian Information

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* 15. Interests and Hobbies:

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* 16. How did you hear about us?

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* 17. Describe your strongest positive character trait and how you think this trait will serve the Youth Advisory Council?

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* 18. In your opinion, what are/is the greatest issue(s) facing young people in the District of Columbia today?

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* 19. If provided the resources to address the issue(s) identified above, how would you choose to address the issue(s)?

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* 20. How do you plan to take what you learn from the Youth Advisory Council back to your school?