Youth Ambassador Team Application

Are you looking to make a difference in your community? Join Connect's Youth Ambassador Team! YAT is a group of 9th-12th graders who want to positively impact our community with the primary goal of reducing teen pregnancy rates. 

YAT Member Requirements:

  • Must be in the 9th-12th grade
  • Must have reliable transportation
  • Must complete an evidence-based intervention within 3 months of joining
  • Attend a minimum of two meetings a month (Sundays from 3-6 pm at the Mary Black Foundation)
  • Be willing to participate in social media activities by Connect
  • Participate in events and special projects throughout the year 
 

To apply please complete the form below

Name *
Name
Address *
Address
Phone *
Phone
Parent/Guardian Phone *
Parent/Guardian Phone
Agreement of Membership
Date
Date
Date
Date