Online Membership Application

Anyone ages 14-21 is welcome to apply for YAC membership. The only criteria are commitment to attending meetings and participating in YAC events and a love for and desire to serve your community.

• YAC Membership Application
  Save and email your completed application to amy@brcofoundation.org or mail it to Branch County Community Foundation, 2 West Chicago Street, Suite E-1, Coldwater, MI 49036
  
  If you have questions, contact Amy at amy@brcofoundation.org or Colleen at 517.278.4517 (or colleen@brcofoundation.org.
  
  Thank you!
  
  

Name:
Date of Birth:
Address:
City, State, ZIP:
Home Phone:
Cell Phone:
Email Address:
What do you feel you can bring to YAC?:
How do you think you can benefit from YAC membership?:
Why do you want to become a YAC member? :
Please list all extracurricular activities:
Are you able to commit to attending at least one meeting every month (September – May)? :
	Yes No
Colored fields indicate required information.