2020 NYHAAD Ambassador Application

Applications are due December 13, 2019 at 11:59pm EST

What is National Youth HIV & AIDS Awareness Day (NYHAAD)?
National Youth HIV & AIDS Awareness Day, held on April 10 every year, is a nationwide observance that calls on people to take action and invest in young people - in their health, their education, and their leadership – so we can truly reach an end to the HIV epidemic.. Learn more.

What is the National Youth HIV & AIDS Awareness Day (NYHAAD) Youth Ambassador Program?
The NYHAAD Ambassador Program is comprised of young leaders and activists who come together to promote a message of prevention, treatment, care, and youth empowerment. Youth Ambassadors work across campuses and communities throughout the U.S. to share factual sexual health information, organize actions to address the impact of HIV/AIDS on youth, and create community spaces for healing and reflection.

Eligibility Requirements:
- Must be between the ages of 13-24 years by the application deadline
- Must be based in the United States of America

Please answer all questions on the application to join the 2020 cohort of NYHAAD Ambassadors. All questions marked with an asterisk (*) are required. If you have any questions please email Armonte Butler at armonte@advocatesforyouth.org

Legal First Name *
Name you prefer to be called *

If same as legal first name, indicate "SAME."
Last Name *
Pronouns *
She/Her/Hers He/Him/His They/Them/Theirs Ze/Hir/Hirs Ey/Em/Eirs
Permanent Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

This is usually one's home or legal address. As a reminder, you must be based in the United States to apply.
Current Address (Street, City, State, Zip) *

Indicate the address where you will be to receive NYHAAD materials around March 2020. This address is usually a temporary, seasonal, or school address.
Which address is this? *
Permanent Home School
Email Address *
Facebook (Optional)
Twitter (Optional)
Instagram (Optional)
Blog (Optional)
What's your birthdate? * MM / DD / YYYY
You must be between the ages 13-24 to apply.
Race *
Black or African American Native American or Alaska Native Asian White Native Hawaiian or Other Pacific Islander Other

Select all that apply.
Ethnicity *
Hispanic or Latinx Not-Hispanic or Latinx

Select one.
Sexual Orientation *
Straight or heterosexual Lesbian Gay Bisexual Pansexual Queer Asexual Two-spirit Other
Gender Identity *
Cisgender man Cisgender woman Transgender man Transgender woman Non-binary Non-conforming Genderqueer Genderfluid Other
Are you currently a member of Advocates for Youth's Youth Activist Network? *
Yes No
If you are part of the Youth Activist Network, please indicate which group. *
I am not a part of the Youth Activist Network. International Youth Leadership Council Abortion Out Loud Muslim Youth Leadership Council YouthResource Student Organizers Know Your IX Young Womxn of Color for Reproductive Justice Leadership Council Engaging Communities Around HIV Organizing
Are you currently advocating for an issue in your community? Check all that apply. *
Condom/Contraceptive Access Comprehensive Sex Education Student Government LGBT Rights Domestic HIV/AIDS Peer Education Planning Groups/Coalitions Domestic Violence Issues Other
Please describe how you are advocating around these issues. (300 words or less) *
Maximum of 300 words. Currently Used: 0 words.
What skills do you possess? Check All That Apply. *
Lobbying Writing articles Planning events Outreach Social media Facilitating workshops Public speaking Networking Event planning Blogging/Vlogging Conducting media interviews Coalition building Research
Please select the issue that resonates most with your planned event/action/gathering. *
Coordinating a day of digital storytelling to raise awareness Informing campus or community members about the impact of HIV criminalization laws Hosting a day of HIV testing on campus or at community center Distributing sexual health resources on campus or at community center Hosting an HIV 101 session on campus or at community center Advocating for access to Pre-exposure prophylaxis (PrEP) on campus Hosting a panel or event on the impact of HIV on young people Meeting with local policymakers about youth & HIV Other
Tell us more about the event/action/gathering you want to hold on NYHAAD 2019 in 300 words or less. (This can change so don't worry! We just want to get a sense of where you're at.) *
Maximum of 300 words. Currently Used: 0 words.
If selected to be a NYHAAD Ambassador, are you willing to be interviewed by the press for your work? *
Yes No
By signing your name, you acknowledge that if selected as an Ambassador:
- You will participate as a NYHAAD Ambassador from Jan. 2020 to Nov. 2020
- You will receive a stipend from Advocates for Youth to support your work as an Ambassador.
- You will develop and submit a strategy chart to guide your organizing for the year and your event on April 10th, 2020. *
Do Not Fill This Out

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