Youth Advisory Panel - Application

Purpose

YAP Members serve the community throughout the school year by acting as a positive role model; to assist teens in refusal skills needed to abstain; to educate peers about sexual health and responsible decision making; to gain confidence and improve presentation skills; to become more articulate, to enhance leadership ability; and to explore public health and social services career opportunities.

Expectations

All Youth Advisory Panel (YAP) members will be expected to:

• Attend a mandatory training session, or equivalent session with Health Educator
• Participate in weekly 1.5hr meetings at the UAY Main Office, 410 Iowa Avenue
• Be invested in preparing for and attending YAP_sponsored events or activites

Qualifications

While YAP is intended to develop these skills, we are looking for energetic and dynamic individuals who are on the path to becoming responsible adults. We are looking for youth leaders who demonstrate strong role model behaviors, have competent decision-making and leadership skills, and who are organized individuals. YAP'rs need to be able to work independently with minimal supervision, as many expected opportunities occur outside of regular meeting times. Lastly, YAP members should have proficient written, oral, and presentation skills â.. or the drive to develop them!

Specific Responsibilities

YAP members are expected to attend the mandatory training session or reschedule with the health educator. Weekly meetings are encouraged, however if conflicts arise it is the responsibility of the YAP member to inform the Health Educator of their absence. In addition, street outreach events will arise. Additional duties include Google Voice/Facebook duties, adhering to UAY Code of Conduct, Contributing to monthly Bathroom Buzz Newsletter, and other projects as they occur.

Contact

Please feel free to contact Joanna Dawson, UAY Teen Health Educator with any questions, comments or clarifications!

• By Phone: (319)338-7518 ex. 608
• By Email: Joanna.Dawson@unitedactionforyouth.org
• Additional: Visit our Health Education website www.UAYhealthed.org

Basic Information

Today's Date
Name
Address		City
State		Zip
Home Phone		Cell
		May we text?	YesNo
Email
Social Media	Facebook		MySpace
		S/N
School		Year in School

Quick Profile

List any additional languages spoken besides English:

How did you hear about YAP? What made you interested in joining?

List any previous public speaking or presentation activities:

How comfortable do you feel speaking in front of a group?

Very Uncomfortable | Uncomfortable | Somewhat | Comfortable | Very Comfortable

Tell us about any previous employment or volunteer experiences you've had.

What sorts of school or extracurricular activities are you involved with?

Do you hold any offices in these positions? If so, pleast list:

What are your plans after graduating high school?

Becoming a YAP'r

List 3 reasons why you should become a PEER EDUCATOR with UAY:
1)
2)
3)

References

Please list 2 references that you have known for at least one year, and your relationship to them. (Ex: teacher, minister, coach, family friend, employer, etc)

Name		Relationship to you
Address
Phone		Email

Name		Relationship to you
Address
Phone		Email

Signature Agreement

I agree to give notice to UAY should I be unable to fulfill my commitment and maintain UAY's standard of confidentiality. I will be responsible to the volunteer coordinator for fulfilling my commitment of volunteering. I understand that the Director, Volunteer Coordinator, or other supervisor may evaluate my performance and that any record of that evaluation will be maintained at UAY and will be available for my review. If under 18, please include a signature from an adult parent/ guardian.

My Name		I agree
Parent/Guardian Name		I agree

I hereby give my consent to a representative of United Action for Youth to conduct a check of criminal records in regard to any felony arrests.