RIPIN Youth Advisory Panel (YAP) Application

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RIPIN's YAP is a group for youth and young adults, ages 14-24, in Rhode Island with disabilities. We meet twice a year to share their experiences and help improve their education and disability programs in Rhode Island, gaining leadership experience in the process. YAP members also connect with peers and professionals through two statewide network events each year, offering their insights via Rhode Island’s Special Education Advisory Network (SEAN).

Youth/Young Adult Contact Details

Youth/Young Adult First Name

Youth/Young Adult Last Name

Youth/Young Adult Phone

Youth/Young Adult Email (please use a non-school email address)

Using a personal email helps us stay in touch if school emails are deactivated or restricted.

City

State

RIPIN YAP is currently open to Rhode Island residents.

Age Range

14-17 (approval from parent/guardian)18-2021-24

Age

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Parent/Guardian Contact Details

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone

Parent/Guardian Email

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Please answer the following questions

Why would you like to be a part of the Youth Advisory Panel?

What has been your experience in school as a youth navigating special education?

What other leadership activities have you participated in (councils, clubs, boards, groups,

peer mediation, etc.)?

What changes would you like to see for youth who have mental health needs or who receive Special Education services (i.e., in schools, communities, families, health care, laws, among peers)?

Is there anything else you would like to share?

Do you have any questions about the Youth Advisory Panel?

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Youth/Young Adult Demographic Information
Optional

Gender

What is your race?

What is your ethnicity?

Preferred Language