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Muslim youth Leadership Council Application

Applications for 2017-2018 **Are Extended**Applicaitons are due on Friday May 5 at Midnight (EST).

Are you a young Muslim identifying person ages 18-24, interested in
• lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) health and rights,
• immigrant rights, and
• sexual and reproductive health, rights, and justice?
Are you ready to counter recent anti-Muslim and anti-immigrant policies and rhetoric, by building a proactive movement furthering Reproductive Justice that is inclusive of rights of LGBTQ Muslims and Muslim immigrants in your communities?

Apply for the inaugural cohort of the Muslim youth Leadership Council (MyLC)!

MyLC is a yearlong Leadership Council dedicated to bringing together young Muslim identifying people in the United States and furthering their goals of becoming leaders within their communities and beyond.

Youth Leaders will work to educate, mobilize and amplify issues impacting their communities by engaging in a variety of ways including through media, local organizing, and local and national policy change. In addition to receiving trainings, resources, and peer-to-peer education, young people accepted to the program will attend a retreat, September 13-18, in Washington D.C. The retreat will include a day of lobbying on Capitol Hill. All accepted participants will be given a scholarship to attend the mandatory retreat, including lodging, food, and travel to Washington D.C. as well as a stipend of $500 throughout the year to conduct activities related to MYLC

Note: We recognize the diversity in the Muslim community. Our involvement in this project is in Muslim youth leadership development around Reproductive Justice in the United States including LGBTQ health and rights, immigrant rights, and sexual and reproductive health and rights. This project is based on Muslim youth development in the United States and is not focused on theological perspectives.

Recent anti-Muslim and anti-immigrant policies and rhetoric have reenergized threats, intimidation and violence against the Muslim community. This can be seen through national policy proposals singling out Muslims for increased police and border control scrutiny and widespread statements equating Islam and terrorism, among a list of other examples. Muslim youth in particular face unique burdens arising from intersecting identities including LGBTQ and immigrant status. MyLC seeks to address these challenges by doing the following:

• Raise awareness among Muslim Identifying young people, especially amongst LGBTQ Muslim youth and immigrant Muslim youth around Reproductive Justice.
• Advocate for the inclusion of MyLC in the planning, implementation, and evaluation of Reproductive Justice related programming and United States domestic policies, especially on issues of LGBTQ health and rights, immigrant rights, and sexual and reproductive health and rights.
• Engage and mobilize Muslim youth ages 18-24 on issues that impact them and their communities.

Throughout the year, MyLC will collectively and broadly focus on Reproductive Justice for Muslim Identifying youth, including LGBTQ health and rights, immigrant rights, and sexual and reproductive health and rights.

Please complete the form below. Fields marked with an * are required.

Name * First Last
Date of Birth (you must be 24 or younger to apply) * MM / DD / YYYY
Email *
Phone Number * ### - ### - ####
What is the best way to contact you?
Email Phone Either is fine
Summer Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Race/Ethnicity *
Gender Identity *
Sexual Orientation
MyLC members will work to advocate for different issues, depending on interests and their capacity. Which issue(s) are you most passionate about advocating for in your communities? (Only pick 3 at the most) *
Racial Justice Immigrant Rights Reproductive Health and Rights LGBTQ Health and Rights Abortion Rights Comprehensive Sex Education Condom/Contraceptive Access U.S. Policy Impacting Women and Girls Trans* Rights and Safety Mental Health Other
If you answered other, please describe:
What skills are you most looking forward to contributing to the MyLC? *
Blogging/Vlogging Organizing actions/protests Event Planning Lobbying Public Speaking Digitial Organizing Media Interviews Training / Workshop Facilitation Writing articles, papers, op-eds Graphic Design Managing and creating content for social media (Facebook, Twitter, etc.) Other
If you answered other, please describe:
Advocates for Youth's Urban Retreat is our annual advocacy training where you will join other youth leaders from across the contury in Washington, DC (all expenses paid) September 13 - 18, 2017. Will you be able to join for these dates? *
Yes No
IMPORTANT: Please note that attendance at the Urban Retreat, September 13-18, 2017 in Washington, DC is REQUIRED in order to be a member of the Muslim youth Leadership Council.

A description of the section goes here.
List the name of your high school, college or university AND the City, State where it is located. *
Are you currently a member of a university/campus organization and/or a member of a local community organization and if so, please list your involvement and any leadership roles you have occupied?
*
Maximum of 300 words. Currently Used: 0 words.
What draws you to advocate for LGBTQ health and rights, immigrant rights, and sexual and reproductive health and rights? Please make sure to address all of the stated areas of focus. *
Maximum of 300 words. Currently Used: 0 words.
What type of change would you like to see in your communities and at the national level? How would you utilize skills, resources, and relationships you gain from this project to benefit your communities? *
Maximum of 300 words. Currently Used: 0 words.
Please name two people who can serve as reference to your work and why you would be a great addition to MyLC. Include their full name, email address, phone number, and relationship to you. *
How did you hear about Advocates for Youth and MyLC? *
Maximum of 200 characters. Currently Used: 0 characters.
Thank you for applying to a part of the inaugural cohort of the Muslim youth Leadership Council! If you would also like to be considered as an applicant for Advocates for Youth's other programs, please check the youth program(s) below.
Campus Organizing Team International Youth Leadership Council (IYLC) Young Women of Color Leadership Council Youth Resource 1 in 3 Campaign Campus Organizers

Visit amplifyyourvoice.org/youthcampaignsandprograms to learn more about each of these programs
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IMPORTANT: Please note that attendance at the Urban Retreat, September 13-18, 2017 in Washington, DC is REQUIRED in order to be a member of the Muslim youth Leadership Council.