Youth Advisory Council 2022 Application

SBHA Youth Advisory Council Application 2022

Applicant Information

The School-Based Health Alliance (SBHA) seeks new members to join our Youth Advisory Council (YAC) as part of ongoing efforts to amplify youth voices in school-based health care. Youth who have current or prior access to an SBHC, are working to address health care issues affecting young people, and are passionate about school-based health care are encouraged to apply. 

If you have any questions, please email youthadvisorycouncil@sbh4all.org!

To learn more about this opportunity, please visit youthhealthhub.org/yacapplication-2022/!

Please note that you can save your progress by completing the first page of the application and selecting the 'Save and Continue Later' button on the upper-right hand corner of the next page.

1. Full Name *This question is required.

First Name
Last Name

2. Birthday (mm/dd/yyyy) *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

3. Email *This question is required. This question requires a valid email address.

4. Phone Number *This question is required. This question requires a valid number format.

5. Phone Number Type *This question is required.

6. Address *This question is required.

Street
Apt/Suite/Other
City
State
Zip Code