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Youth for Change
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Intake form
Help us serve you better
Name
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Email address
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What is your age group?
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Under 18
18-24
25-34
35-44
45-54
55 and above
How did you hear about us?
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Social Media
Friend or Family
Online Search
Event
What services are you interested in?
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Environmental Projects
Community Engagement
Disaster Relief
Volunteering Opportunities
Partnerships
Would you like to participate in upcoming events?
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Yes
No
Maybe
What skills or expertise can you contribute?
Additional questions or comments
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