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youth leadership council

The Tennessee District Attorneys General Conference and Gov. Phil Bredesen have joined together to create the Meth Destroys Youth Leadership Council (YLC). The YLC will be made up of high school students from across Tennessee who want to raise awareness among their peers and in their communities about the devastating effects of meth. While there will be hundreds of Council members, only 200 will be invited to represent their areas of the state at the first Meth Destroys Youth Leadership Summit in downtown Nashville on April 25. At the Summit, YLC representatives will have the opportunity to meet with one another, former meth addicts, district attorneys and Gov. Bredesen to discuss how they can help stop the meth epidemic.*

A PDF of the application can be printed out here, completed and mailed to: Tennessee District Attorneys General Conference, 611 Commerce Street, Suite 2800, Nashville, TN 37203, or faxed to (615) 259-4040. The application can also be filled out and submitted below.


Contact Information

Last Name:

First Name:

Middle Initial:

Age:

Address:

City:

Zip:
County:

E-Mail Address:

Home Phone:

Cell Phone:
Emergency
Contact
Info		  

Contact 1:

  

Name:

Relationship:

Phone:

Contact 2:

  

Name:

Relationship:

Phone:
Applicant Information  

School:

School Grade:

School Address:

School City:

School Phone
Number:

Extracurricular
Activities
(Clubs,
Athletics,
Etc.):

Honors:

Principal:

Guidance Counselor:

Hometown Newspaper:
    Male    Female

Criteria Section

Have you ever been found deliquent by a juvenile court?
    Yes    No  

If yes, please explain:

Why do you want to be a part of the Meth Destroys Youth Leadership Council?

What actions can youth take toward fighting the meth problem in Tennessee?

CONSENT FOR USE AND PUBLICATION OF INFORMATION

The Tennessee District Attorneys General Conference is given my consent to take, use and publish pictures or photographic likenesses, in whole or in part, for the purposes of advertising and promoting the Meth Destroys campaign and the Youth Leadership Council. This information may be used or published through any medium, including the Internet.
 

By checking this box, I agree to the above:

The Tennessee District Attorneys General Conference is given my consent to use my name for the purposes of advertising and promoting the Meth Destroys campaign and the Youth Leadership Council. This information may be used or published through any medium, including the Internet.
 

By checking this box, I agree to the above:

The Tennessee District Attorneys General Conference is given my consent to use and publish my statements, in whole or in part for the purposes of advertising and promoting the Meth Destroys campaign and the Youth Leadership Council. This information may be used or published through any medium, including the Internet.
 

By checking this box, I agree to the above: