Travis County Youth Substance Abuse Prevention Coalition (“YSAPC”)
Our mission is to prevent or reduce the use and abuse of substances in youth and increase awareness of their related risks among the communities of Travis County.
COALITION MEMBERSHIP APPLICATION
This application must be completed by all prospective Coalition members and approved by the Executive Committee as outlined in Article III: Section 3.1 of Coalition bylaws. Applications may be submitted electronically to info@tcysapc.org or at monthly meetings.
PLEASE PRINT OR TYPE
NAME: __________________________ CREDENTIALS: __________________
SECTOR: _________________ EMPLOYER: ____________________________
PHONE: (_____)_________ E-MAIL: ________________________________
Please provide a brief explanation of your interest in pursuing YSAPC membership.
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Please state how your professional/ personal skills and qualities may support the goals and mission of YSAPC.
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On which of the following committees are you interested in serving?
Select your top two choices.
___ Summit Planning
___ Back-to-School Event Planning
___ District Collaboration
___ Social Media and Outreach
Members of the Travis County Youth Substance Abuse Coalition are expected to:
- Attend Coalition meetings
- Participate in Coalition events
- Serve on at least one committee, and
- Vote on items brought forth to the Coalition
By signing below, I agree to uphold membership responsibilities as outlined in Article III, Sections 3.1 – 3.3 of Coalition bylaws, and summarized above.
__________________________ _____/_____/_____
SIGNATURE DATE
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PRINTED NAME
