Youth Summit Application : North Omaha Community Care Council

The NOCCC has an exciting opportunity for local youth! Want to gain valuable leadership experience and have a profound impact on the health of your peers in Omaha? Want a sweet addition to your resume while also being creative and fun? The NOCCC is looking to hire 4-5 youth leaders to plan and implement a youth summit in North Omaha in September 2017 at Metro Community College. This youth summit will feature speakers and workshops on mental health, access to health care, education and career success, sexual health, life skills, healthy relationships, and adolescent development. Additional workshops featuring art, music, poetry and more may be added. You will be paired with a mentor that will assist you during the planning process and will support you. Important things to know regarding this project and your eligibility: • Must be 14-19 years of age. • Must attend an orientation to the project with a parent/guardian/caregiver (tentatively first part of June, 2017) and conference on September 23, 2017. • Must be able to attend 1-2 weekly meetings (early evening, weekends). The time commitment may vary from 4-8 hours per week, depending on your designated committee. • Stipends available up to $1,000! • Awesome skill sets we need? Organization and planning, collaborative teamwork, social media skills, great relationships with other youth in the community, etc. Timeline: Complete the application online, submit via email to mail@northomahaccc.org, or send by mail to PO Box 31341 Omaha, NE 68131 no later than May 24th (applications must be received by this date). You will be asked to interview with a small group of adult leaders the week of May 29th with your availability to start work the week of June 5th, 2017. If you have any questions, please contact Aja Anderson at 402-916-5293 or at mail@northomahaccc.org. We look forward to hearing from you! In gratitude, NOCCC

Full Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

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Are you available June 5?*

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Are you a citizen of the United States?*

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If no, are you authorized to work in the U.S.?

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Date of Birth*

Age now*

EDUCATION

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Degree

REFERENCES

Reference #1 Name*

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Company*

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Street Address Address Line 2 City State ZIP Code

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Reference #2 Name*

Relationship*

Company*

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Street Address Address Line 2 City State ZIP Code

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PREVIOUS EMPLOYMENT

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Job Title

Responsibilities

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Please rank the project you desire to work on (1 being your first choice, 4 last choice)

Breakout Speakers*

Please enter a value between 1 and 4.

Help in the process of picking speakers and working on the logistics for speakers to ensure a great experience for our youth in attendance.

Transportation*

Please enter a value between 1 and 4.

Coordinate registration and transportation for conference attendees and designate pick-up and drop-off times with the transportation agency

Incentives*

Please enter a value between 1 and 4.

Help determine what incentives will be given and gathering all incentives. This may include making “swag” bags for the conference attendees, gifts for speakers, and raffle prizes.

Registration/Promo*

Please enter a value between 1 and 4.

Assist with the planning, coordination, set up, and execution of registration for the event. This may include working the registration table the day of the event.

Please attach copies of documents and/or awards that you might want us to consider in accepting you in this program.

File

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Briefly tell us what you believe is the biggest health-related issue impacting Nebraska youth?

Youth Worker Application

EDUCATION

REFERENCES

PREVIOUS EMPLOYMENT