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Teen Advisory Board Application 2025

Teen Advisory Board Application 2025

We are recruiting teens to be members of our Teen Advisory Board. The Teen Advisory Board (TAB) acts as the youth voice of the My Future-My Choice (MFMC) program. TAB members are expected to give program feedback on MFMC which is a sex education curriculum, advocate for youth sexual health and take part in leadership development activities.

Members will connect monthly with an assigned local mentor, meet deadlines on a leadership project, participate in the virtual Leadership Kick-Off Weekend in October 2025 (exact date TBA) and the in-person End of the Year Meeting during April 2026 (exact date TBA) and connect by phone and/or email as necessary. 

TAB members will be paid $500 upon completion of all TAB related activities.

This application will ask you to list two adult references (name, phone number, and email), be sure to have those ready before starting your application. Adult references can include a My Future-My Choice Classroom Facilitator or Coordinator, a coach, youth/club leader, or teacher.

This form will not save responses as you type. If need to come back to the application later we suggest writing your response in a separate document and copying and pasting it into the survey box when you are ready to submit your application. 

Eligibility criteria for TAB membership is listed below. TAB members should:
  • Be a high school student during the 2025-2026 school year,
  • Have an interest in sexual health and equity,
  • Have the ability and desire to communicate well with peers, middle school students and adult staff,
  • Have the desire for leadership development, and
  • The ability and desire to advocate for youth sexual health and the My Future-My Choice program both at the community and state levels.
  • Have time for roughly 2-6 hours of work a month and two larger weekend events

For in person events, MFMC will cover all overnight lodging, food, and transportation costs.

Applications will be accepted on a rolling basis until all spots are filled with priority going to applicants who submit before June 1, 2025. Once all spots have been filled, this application will be closed (if you are on this page, we have spots and want you to apply!)

For more information visit: https://www.oregon.gov/dhs/children/mfmc/pages/index.aspx
For questions contact:

Andy Dettinger
andy.dettinger@odhs.oregon.gov
971-286-8090

-or-

My Future-My Choice Program Office
OR Department of Human Services
500 Summer St NE, E48
Salem, OR 97301
Fax: 503-373-7032
 
3. Can you receive mail addressed to this name? Should we use this name if talking to a guardian/caregiver?  *This question is required.
Acceptances are often sent over summer so if you don't look at your school email consider using a different one This question requires a valid email address.
This question requires a valid email address.
9. What grade will you be in during the 2025-2026 school year? *This question is required.
13. Which of the following describes your racial or ethnic identity? Select all that apply and enter additional details in the spaces below if you'd like.If you'd like to specify beyond the included categories, feel free but it is not expected or required
14. Which of these do you have consistent/reliable access to? (Select all that apply) *This question is required.
Have you ever been a Teen Leader? *This question is required.
List any activities you are involved in and how many hours per week each activity requires.
Space Cell ActivityWork/School/Community/SeasonalHours per week
1.
2.
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4.
Will you be available to attend the mandatory virtual Leadership Kick-Off during October (date TBA, roughly 9-2:30 Saturday and Sunday)? *This question is required.
Will you be available to attend the mandatory, in-person End of the Year TAB Meeting Weekend during April (exact date and location TBA, transportation to and from event provided and all expenses paid)? *This question is required.
Will you be available to meet for one hour monthly with a local mentor to work on TAB related activities? *This question is required.
Will you be available to meet for one hour monthly with the other TAB members to work on TAB related activities? *This question is required.
Is there a local adult (25 or older) that you have in mind to be your TAB Mentor? (A mentor is an adult in your community that you would meet with virtually an hour per month during the school year.  They would support you with the TAB project and also attend the two statewide meetings October 2025 and April 2026. This person could be a My Future-My Choice Coordinator, a coach, or a youth/club leader. Parents and caregivers cannot be mentors) *This question is required.
If yes please indicate:
16. List three attributes you would bring to the Teen Advisory Board? *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
Application Signature *This question is required.
Clear
Signature of
Caregiver/Adult Support Person's Information
(Adult(s) you're living with i.e; parent, family member, resource parent, other)  *This question is required.
Is this person legally responsible for you?  *This question is required.
Legal Guardian Information
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