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Organizations Join Us!

For organizations outside the USA, please do not complete this form. Instead join the Global Youth Action Network - one of the leading alliances of youth organizations worldwide!

Organization/School Name:
Contact Person:
Contact Title:
Telephone:
Fax:
e-mail:
Web Site:

Organization Mission:
Organization Year Established:
Ages Organization/School Serves:
Key Programs:
Outreach Capacity:
Youth-led:	yes no
Youth-serving?	yes no

Organizational Scope:	school group community multi-district state-wide nationwide regional mutli-national global

Partner Level Interests (select all that apply):	Member Organization of the NYAC reciprocal web links endorsing organization program partnership joint strategy shared resource database

Please describe how you would like to partner with Youth In Action:

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	"Take some time and look at the big picture. Don't argue so much. So much of the violence that is here is due to the model that [older] people set for the young ones out there" - Jennifer, age 9, California