Breaking the Silence New Mexico » Youth Advisory Group Application

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Your Full Name*

Preferred Pronouns

Date of Birth*

Current Grade*

Current School*

Has your school received presentations from BTSNM?*

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Current Address*

Street Address Address Line 2 City State ZIP Code

Your Phone*

Your Email*

Preferred method of communication

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Text

Phone Call

Email

Race/Ethnicity

Language(s) Spoken

How did you hear about the Youth Advisory Group?*

Parent /Guardian Information

Parent/Guardian Full Name*

Relationship to You*

Parent/Guardian Phone*

Parent/Guardian Email*

Please answer the following questions in 2-4 sentences.

What does mental health mean to you? Why do you think mental health awareness is important?*

Please share three things about yourself or three skills that make you a good fit for the group.*

What do you hope to gain from the BTSNM YAG? After you finish your time here, what would you like to walk away with?*

The BTSNM Youth Advisory Group (YAG) meets as a full group once a month, with additional opportunities to participate in virtual and in-person events. The average monthly time commitment is 2–4 hours, with a minimum one-year term. Members are expected to contribute to project development, outreach, partnerships, and advocacy (as described in more detail on our website). Can you meet this commitment, or are there any challenges that may prevent you from doing so?*

Please share anything else about yourself that you’d like us to know. Do you have any questions for us about YAG or what it’s like to be involved?*

Essay Prompt

Write a short essay (250 to 500 words) that answers the following questions. You may write/type your essay below or in a separate document. Responses will be reviewed primarily on originality, flow, and content. Please refrain from using an AI generated response and submit this with your application.

Why do you want to be a member of the BTSNM Youth Advisory Group (YAG)?
What are some things you do in your daily life to help spread mental health awareness?
Why is it important for adults to include youth in their work?

Essay*

If my application is selected, I agree to attend an interview with the Youth Advisory Program Coordinator and BTSNM Executive Director. If I am selected after interviewing, I agree to attend the orientation session. I understand that the Youth Advisory Program Coordinator will communicate any decision taken on my application.

Agreed

If selected as a YAG member, I agree to follow the group’s expectations and responsibilities, which include project development, outreach, collaboration, and advocacy. These are further explained on BTSNM’s website. I agree to contact the YAG and/or BTSNM staff if I have any questions before submitting my application.

Agreed

Your Signature*

Parent/Guardian Signature

Youth Advisory Group Application

Parent /Guardian Information

Please answer the following questions in 2-4 sentences.

Essay Prompt

Breaking the Silence NM