YCSP Application

Youth Council for Suicide Prevention Application Form

YCSP Application 2022-2023

Applications are due by June 17, 2022

Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

High School / College

Grade Next Year

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Please answer the following 4 questions and limit each response to 200 words.

Why is suicide prevention work important to you?

How do you think YCSP members can promote mental health & wellness in the Cincinnati area?

Why should YOU be selected to be a member of YCSP?

What other activities do you participate in? How will you ensure you are able to prioritize attending YCSP meetings?

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There will be approximately 15-18 meetings from September 2022-May 2023 on Sundays from 1pm-2:30pm. We will meet on Xavier University's campus (directions and Maps will be provided!) Members of the Youth Council for Suicide Prevention are expected to attend and fully participate in all council meetings. We understand that occasionally a conflict may arise; in that situation, we expect council members to notify us that they will not be able to attend.

Below are the basic rules about attendance.
1.The inability to attend a meeting will be reported to one of the council moderators as soon as possible.
2. Anyone who misses more than 3 meetings without notice or reason may be asked to withdraw from the council.

Are you willing and able to fulfill this attendance commitment?
Yes
No

I understand the purpose of the Youth Council for Suicide Prevention and if I become a member I will devote the time and energy necessary to make it a successful experience.
Check Here If Agree

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Resume Upload (Optional)

Click or drag a file to this area to upload.

If you would like, you may submit a resume that includes extracurricular activities (list membership in community, religious, social, athletic, and school organizations), current or past employment (hours worked per week if currently employed).

Email