UH Rainbow Center for Child Health & Policy

Youth Advisory Council Request Form

Council comprises of up to 30 advisors. Advisors are high school students ranging from grades 9-12 and reside within Northeast Ohio.

Name of Person Completing Form

Name of Domain

Preferred E-mail Address

Project Title

Project Start Date

Project End Date

Purpose of Group or Project

How many Advisors would you like for your project?

Specifically, what would you like the Advisors(s) to do?

What lived experience, skills, or characteristics would it be important for the Advisors(s) to have?

Are there any travel requirements?

Yes

Will there be an opportunity for the Advisor(s) to assist virtually/asynchronously?

Please describe the size and composition of the team the Advisors(s) will be working on

Who is the primary contact for the Advisors(s)?

Meeting times, days, and frequency

Please describe any work that the Advisors(s) may need to do between meetings and the time commitment expected

Is there any additional information the Advisors(s) need to know? Label

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