Youth Council Application

Please fill out the application below:

Please fill out the application below to apply to be a member of the Queer and Trans Youth Council of Santa Cruz County (QTYC).

QTYC members will also meet with the Santa Cruz County Office of Education Alliance for Youth Action. The Alliance is a multi-disciplinary alliance between various student leadership groups throughout Santa Cruz County to share ideas, learn new skills, and support one another's initiatives. We will meet as a collaborative bi-monthly to build community, leadership, and sustainable change.

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Certification

I certify that I have considered each question carefully and that my statements are true and complete to the best of my knowledge.

Furthermore, I understand that acceptance as a Youth Council Member may be denied or revoked if any information is found to be incomplete or inaccurate.

IMPORTANT: Your electronic signature (please type your full name) is required below. Without your signature, your application is not complete.
Digital Signature
Upon submission of your application, you should receive an email confirmation.

Queer Youth Updates