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Help Advocate for Children and Youth Rights in PEI!
'Youth Voice Matters'
Child and Youth Advisory Committee (CYAC) APPLICATION FORM

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Please fill in your personal details below:

First Name

Last Name

Phone Number

Email Address

How old are you?

Which pronouns do you use?

Which county do you live in?

Which school do you attend?

To learn a little more about you, please select any of the following descriptors that apply to you:

I identify as member of the BIPOC (black, indigenous and people of colour) community.

I identify as a member of the 2SLGBTQ+ community.

I am a person with a physical disability.

I am a person with a learning challenge.

I would prefer not to answer this question.

How did you hear about the CYAC?

Poster seen at school

CYAC page on the OCYA website

A member of the CYAC encouraged me to apply

A teacher or counselor at my school encouraged me to apply

A friend of the family encouraged me to apply

Other

What are the reasons for wanting to join the CYAC? (you can select as many that apply)

I want to know more about the UNCRC and children's rights.

I want to be a youth advocate to ensure youth voice is heard.

I want to meet other people with similar interests about children's rights.

I want to make a difference in the lives of children and youth.

Other

Please write a short response in the space provided about the topics related to children and youth that you feel passionate about? (Example: You are a youth in care and want to improve living conditions in care homes on PEI)

What are 3 words that best describe you?

In the space provided, tell us a bit about what you like to learn about and how you spend your free time.

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