Youth Resources of Southwestern Indiana TAC Member Application - Youth Resources of Southwestern Indiana

Personal Information

Photo of You *

Click or drag a file to this area to upload.

Please upload a photo of you! A headshot-style photo is preferable so we can see your face. It does not need to be professional - a selfie is totally fine.

First Name *

Last Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell *

Personal Email *

School Email *

Preferred Pronouns

She/her
He/him
They/them
Other

Birthday *//

mm/dd/yyyy

School (Fall 2022) *

Grade (Fall 2022) *

T-Shirt Size

About You

Extracurricular activities (Including church activities, school activities & any other groups you’re involved in) *

Hobbies & Interests *

Tell us what you enjoy doing in your free time!

If you could choose one word to describe yourself, what would it be?

Please list one random fact about yourself.

If you could travel anywhere in the world right now, where would you go and why?

Leadership

Why do you hope to be selected to serve on the Teen Advisory Council? *

What skills do you bring to the table when working with a committee to plan and implement the Teen Advisory Council’s events and projects? *

If selected for the Teen Advisory Council, what personal leadership skills would you like to improve on? *

Do you have any activities or responsibilities that would interfere with your ability to complete TAC requirements? (Scroll up for a list of requirements.) *

Do you have any additional comments that will help YR know you better?

Teen Advisory Council Membership Contract

Teen Advisory Council Contract

I understand that my appointment to the Teen Advisory Council is not only an honor but also a responsibility. As a member, I will work toward achieving the Council’s goals:

To identify problems teenagers are facing
To suggest solutions to these problems
To work toward solving these problems
To represent a cross-section of diverse interests and activities
To increase awareness of youth issues in the adult community
To impact the adult community by showing that teens can be a source of solutions
To gain leadership experience
To be involved in meaningful community service projects
To develop friendships and contacts from other area high schools
To live a tobacco-, drug-, and alcohol-free life
To complete my assigned requirements as listed in the TAC bylaws

In addition, I will attend all TAC trainings, meetings & special events, work on Council projects, serve on selected committees, and be a spokesperson for Youth Resources and its efforts to involve young people in meaningful community service, leadership development & civic experiences.

Finally, I realize that if I have more than two absences from Council meetings during a semester and/or participate in fewer than the required community service hours, shadowing meetings and/or social events determined by the Council, I will lose my eligibility to continue as a Council member unless I am reinstated by the Teen Advisory Council’s Executive Committee after completing the appeal process as set forth in the TAC bylaws.

I agree to the TAC Contract.

Health, Liability & Photo Release

Please scan & upload your completed Health, Liability & Photo Release forms in the box below. To download the forms click here. We recommend Adobe Scan or Genius Scan apps if you don't have access to a scanner. Please do not upload a photo of your forms! We need a scanned copy so that it is readable.

File Upload *

Click or drag a file to this area to upload.