JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Application for Youth Transition Advisory Council
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Pronouns
*
fae/fem/faer
he/him/his
she/her/hers
they/them/theirs
xe/xem/xyr
ze/zem/zeir
None of the above
None
Other:
Required
Primary Language
Your answer
Select Your Birthdate
*
MM
/
DD
/
YYYY
City
*
Your answer
Zip Code
*
Your answer
County in which you live
*
Adams
Arapahoe
Clear Creek
Denver
Douglas
Elbert
Jefferson
Other:
Phone Number
*
Your answer
Email
*
Your answer
Communication Preference
*
Phone
Email
Text
Paper Mail
Large Text
Braille
ASL
Other:
Required
Tell us why you want to be a part of the Youth Advisory Council.
*
Your answer
Do you have previous experience with advocacy? If yes, please describe.
*
Your answer
Have you ever participated in any kind of committee or council? If yes, please describe.
*
Your answer
What are the top three needs for youth with disabilities in your community?
*
Your answer
The time commitment YTAC will be a monthly meeting plus additional time required to complete yearly goals. Do you have enough time to be an active member?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Atlantis Community, Inc..
Report Abuse
Forms
