Opioid Affected Youth Initiative
2025 Youth Advisory Board Application

Please complete this form for consideration of alumni membership on the 2025 Opioid Affected Youth Initiative (OAYI) Youth Advisory Board (YAB), formally known as the Youth National Opioid Wellness (YNOW) Task Force.

Applications will be accepted through 11:59 p.m., EST, February 7, 2025, and all applicants will be notified of the board's decision by February 28, 2025.

Applicant Information

First name:

Last name:

What personal pronouns do you use?

This is to ensure we are inclusive and respectful of each applicant's identity.

He/him

She/her

They/them

No preference

Date of birth:

mm/dd/yyyy

Email address:

Cell number:

Do you have an additional contact number?

Yes

Please select your preferred method of communication.

Text

Other

Location:

Please provide the city and state you are located in.

Education:

This is to ensure the board has diverse representation. Self-disclosure is optional, and your response will not be a determining factor for selection.

Occupation/employer:

You may enter N/A if you are unemployed. Your response will not be a determining factor for selection.

Please share your social media handles, where applicable.

How would you describe ethnic background? Select all that apply.

This is to ensure the board has diverse representation. Self-disclosure is optional, and your response will not be a determining factor for selection.

Service Information

Share your personal story and journey with us.

Note: You may record a brief (3-minute maximum) video response addressing the prompt and upload it under the Resume and Video Submissions section at the bottom of the page. We've shared some pro tips below.

Presentation: Share your story naturally, as if talking to a friend, while maintaining professionalism. Find a quiet space with good lighting where you feel at ease.

Content: Include meaningful moments and experiences that have shaped who you are.

Authenticity: Be yourself! We want to get to know the real you.

This format is optional; you may also provide a written response.

How would you describe your lived experience? Select all that apply.

I have personal experience with opioids and/or other substance use.

I have experience with opioids and/or other substance use through a family member or close friend.

I live/have lived in an opioid-impacted community.

I have experience with the juvenile justice or criminal justice system.

I have experience with the child welfare system.

What cultural, societal, or community concerns resonate with you? How do these concerns impact experiences with substance use, the juvenile justice system, or the child welfare system?

What specific actions have you taken to reduce the impact of opioids and substance use in your community? Examples include educating others, saving lives, fighting stigma, organizing community events, or creating initiatives.

Note: You may record a brief (3-minute maximum) video response addressing the prompt and upload it under the Resume and Video Submissions section at the bottom of the page. We've shared some pro tips below.

Presentation: Share your story naturally, as if talking to a friend, while maintaining professionalism. Find a quiet space with good lighting where you feel at ease.

Content: Include meaningful moments and experiences that have shaped who you are.

Authenticity: Be yourself! We want to get to know the real you.

This format is optional; you may also provide a written response.

What drives your interest in serving on OAYI YAB? How will your specific strengths, capabilities, and competencies advance our commitment to elevating youth voices in substance use support?

What do you hope to gain from participation on this board?

Are you available to participate in recurring member meetings, currently scheduled on the first Friday of each month from 2:00–4:00 p.m., ET?

Yes, I am available.

No, I am not available.

Resume and Video Submissions

Please submit your resume and any video responses to support this application.

Resumes are required. Video submissions are optional.

Drop your files here

Send me a copy of my responses

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Opioid Affected Youth Initiative 2025 Youth Advisory Board Application

Applicant Information

Service Information

Resume and Video Submissions

Opioid Affected Youth Initiative
2025 Youth Advisory Board Application