Youth Action Members Kickoff 2022

Who We Are
Our Advocacy
- Healthy
- Housed
- Educated
- Safe
Data & Policy
Take Action
Resources
Donate
Search

Welcome! Thank you for your interest in CCC’s Youth Action Leadership Program. Please fill out and submit this form to RSVP to attend our kickoff session.

When: September 15th 2022

Time: 4pm-6pm

Location: 14 Wall St Ste 4E, New York, NY 10005

Contact: Adama Diallo @adiallo@cccnewyork.org or 917-285-4361

YAMS KICKOFF RSVP

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Race

Black or African American

White

Hispanic or Latino

Asian

Other

Prefer not to answer

Family Income

Less than 25,000

25,000-50,000

50,000-100,000

100,000-200,000

more than 200,000

Prefer not to say

Any Food Restrictions/ Allergies?

CAPTCHA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Join Our E-Action Network

Follow Us On Social

Donate