2025 - 2026 CYD Youth Ambassador Application

CYD’s Youth Ambassador Program aims to empower youth to thrive in adulthood by developing their unique talents and leadership skills, cultivating healthy behaviors and relationships, and actively participating in community projects that make a difference. Are you ready? Apply Now.

First Name *

Last Name *

Preferred Name

What are your Pronouns?

Gender *

Select the race or ethnicity in which you identify. *

If other, please explain.

Your Email (please provide an email you check often) *

Your Phone Number *

Your Address 1 *

Your Address 2

City *

State/Province *

Zip *

T-shirt size *

Dietary Restriction (check all that apply) *

Peanut Allergy/Tree Nut Allergy
Gluten/Wheat Allergy
Milk Allergy
Vegetarian Option
No Restrictions
Other

Other, please explain.

Current Grade *

What school do you attend? *

If you chose other, please explain below.

Parent/Guardian Name (first/last) *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

I have told my parent / guardian that I am applying to be a Youth Ambassador. *

Yes
No

We want you to be able to participate, which may mean you need help with transportation. That's ok! Which statement is most true for you? *

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2025 - 2026 CYD Youth Ambassador Application

council for youth development

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2025 - 2026 CYD Youth Ambassador Application

council for youth development

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