Interested in joining The Coordinated Children's Services Initiative's Youth Advisory Council?

Please fill out this form and someone will reach out to you within 48 hours.

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* 1. What is your name?

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* 2. How old are you?

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* 3. What borough do you live in?

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* 4. Best way to contact you?

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* 5. Please provide a phone number we can reach you at

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* 6. Please provide an email address we can reach you at

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* 7. How did you hear about us?

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