The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

8sUDQYRNSaw4EPGB6PxgF5DCoAeeVaurSX35Zq8EjFqj3F

Tri-City Partnership YAAB Member Application

Thank you for your interest in the Tri-City Partnership Young Adult Advisory Board (YAAB). Please fill out the application below to be considered for the position of YAAB Member.

The YAABʼs mission is to build an inclusive space where young people have an opportunity to engage in meaningful discussion and provide input on the Shannon programs in Fitchburg, Garnder, and Leominster. We are looking for individuals who can draw from their personal experiences to shed light on challenges such as homelessness, poverty, and gang violence in our community. Our goal is to enhance the policies, practices, and activities of the Shannon programming to better serve the community.

We want YAAB Members who represent and understand the Fitchburg, Gardner and Leominster communities.

If you are 18-24 years and currently or previously lived in these areas, we invite you to apply!

If you have any questions about the YAAB application process, you can email us at jinnia.baiye@umassmed.edu

YAAB Member Job Description

Attachment:YAAB 2024 Job Description.png

If you need assistance with developing a resume or cover letter, you can reach out to Career Development Counselor, Cassie Peltola. Her email is cpeltola@mwcc.mass.edu.

First and Last Name:

Preferred Name:

Gender:

Woman

Man

Non-binary, genderqueer, transgender or genderfluid

An identity not listed, please self-identify

reset

Self-Identify:

Ethnicity:

Hispanic or Latino/a/x

Non-Hispanic or Latino/a/x

reset

Racial Identity:

Native American or Alaska Native

White

Black or African American

Hispanic/Latino/Spanish origin

Asian

Middle eastern

Northern African

Race not listed, please self-identify

reset

Self-Identify:

Pronoun:

Email:

Phone Number:

Age (in years):

Are you between the ages of 18-24?

Do you currently reside in the Fitchburg, Gardner or Leominster area?

Yes

reset

Do you have access to a computer and internet so that you can participate in the virtual meetings?

Yes

reset

Do you have experience with any of the following Shannon-funded programs (Select all that apply)?

CRA Youth or Afterschool or Youth Innovation Program (Making Opportunity Count/MOC)

Community Outreach Academic Counselor Program (Mount Wachusett Community College/MWCC)

AMP Program or SNAP Program (Shining Light Ministries)

On-Site After-School Program (Spanish American Centre)

Junior Police Academy (Fitchburg Police Department)

Junior Police Academy (Gardner Police Department)

None

Other, please specify

Other

Have you served on an Advisory Board before?

Yes

reset

If yes, please name:

9:00 AM

10:00 AM

11:00 AM

12:00 PM

1:00 PM

2:00 PM

3:00 PM

4:00 PM

5:00 PM

6:00 PM

7:00 PM

Monday

Tuesday

Wednesday

Thursday

Friday

Tell us about yourself (5 to 7 sentences):

Expand

Why are you interested in becoming a member of the YAAB? How do you think you can contribute to the activities of the board? (5 to 7 sentences):

Expand

If you are hired as a member of the YAAB, can you commit to 12 months with the YAAB (meetings are once a month for 3 hours, virtually using Zoom)?

Yes

reset

Do you give us to keep your application on file to fill future vacancies on the board or to contact you about other engagement opportunities?

Yes

reset

How did you hear about the Shannon Young Adult Advisory Board?

A person who can attest to your character. This could be a person who you have worked with or worked for, teacher, mentor, family member, close family friend, or community member, etc.

Referee First and Last Name:

Reference Email:

Reference Phone Number:

Relationship to Reference:

Please attach your resume.

* must provide value

Upload file

Please attach your cover letter (optional).

Upload file

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.