Girls Inc. of Alameda County: 2024 Youth for Health and Justice Summer Application

This segment is for the youth who is applying, below there will be some questions the parent/guardian must complete to submit the application.

Youth for Health and Justice
The Summer Leadership Institute is a program for high school girls and gender expansive youth entering grades 9th – 12th during the 2024 - 2025 school year. The Summer Leadership Institute will educate, engage, and inspire girls to be future voters, leaders, and candidates by building knowledge and skills while instilling positive attitudes towards politics and leadership.

This summer we are excited to offer one program under the Summer Leadership Institute: Youth for Health and Justice, from June 17th - July 12th (no program on both June 19th and July 4th).

Youth for Health & Justice is for girl identified youth who are looking to be a part of the movement for equity and respect for all. In this summer program, teens will learn about the movement to ensure a future where everyone has access to quality healthcare- focusing on reproductive health inequities in our communities and country. Teens will get the knowledge and tools to become powerful advocates for themselves and their loved ones, learning their reproductive health rights as young people and exploring the gaps that exist in our country that result in women, girls, BIPOC folks, and LGBTQIA+ folks lacking complete access to health services they deserve. Teens will share and learn in a safe and open space where they can create connections with each other and their facilitator, all while gaining self-advocacy skills that will support them for a lifetime. At the end of the summer program, they will work together on a fun art or media project focused on raising awareness for others about the importance of reproductive health.

Youth will get a $200 stipend for participation and project completion.

1. Youth/Applicant's Full Name *This question is required.

2. Youth/Applicant's Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

3. Youth's Primary Home Address *This question is required.

Street Address/P.O. Box
City
State
ZIP

4. Youth's Cell Phone (if applicable)

5. Youth's Email Address *This question is required. This question requires a valid email address.

6. Please select your preferred method of contact *This question is required.

Email
Home Phone
Cell Phone

7. What high school do you currently attend or will attend in the Fall? *This question is required.

8. What grade are you currently in?

9. How did you learn about Youth for Health & Justice? Please list name(s) if applicable. *This question is required.

10. Are you involved or have you been involved with any Girls Inc. programs?
(Select all that apply) *This question is required.

ACT
HEART
HER
All STARS (Middle School)
Concordia Summer Camp
Eureka!
None of the above
If you attended a Girls Inc. Afterschool program, please name the school here: Please enter an 'other' value for this selection.

11. Do you have family members who have been part of the Girls Inc. Program?
(Please list there name and the program they were in)

12. Will you be involved in any additional activities this summer, such as summer school, working, sport teams? If applicable, please list activities:

13. Why do you want to be part of Youth for Health & Justice?
(Please answer in two to three sentences)

Girls Inc. of Alameda County: 2024 Youth for Health and Justice Summer Application

Youth Applicant Portion