Youth Action Board Application

Name*

Please include Street address, city and zip code

Age*

How did you hear about the Youth Action Board*

What are your strengths and what are some things you can work on while on the Youth Action Board?*

How would you apply your strengths to the Youth Action Board?*

Why do you want to join the Youth Action Board?*

Have you received any services through Salt Lake County Youth Services or other related programs?*

SLCo Youth Services programs include: Milestone, Juvenile Receiving Center, Youth Services Counseling Services, Afterschool Program, Prevention.

Send me a copy of my responses