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Winter 2024 Y-WE Alum Cohort

Six-week online series
February 20-March 26, 2024
Every Tuesday, 5-7:15 PM PST
On Zoom

If you have any needs or questions, contact

Please plan to complete this form in one sitting, you will not be able to save it mid-way through!

Y-WE Inclusion Policy

*Y-WE welcomes those who identify as a girl/woman, nonbinary, trans, and gender expansive. Most programs are open to youth ages 13-19.

Basic Information

she/her, they/them, he/him, etc



Disability accommodations, environmental sensitivities, neurodivergence accommodations, etc


Your answers to these questions help us to get to know you better and understand what inspired you to apply to Y-WE. We shape our programs around the passions and goals of the youth who participate, so your answers to these questions really matter to us!

Demographic Information

YY-WE collects this data to better understand who we serve, and to improve and obtain support for our programs. Your answers are confidential and we never shares personal or identifying information outside of Y-WE!

Your answers are confidential! We do not ask for or keep any record of immigration status.

Emergency Contact

Please provide information for someone we could contact on your behalf in an emergency.


Needs Support Check-In

Y-WE's Community Wellness and Mental Health team help connect Y-WE individuals and families with mental health and wellness support (and physical/financial resources when possible). These services are confidential. If you or your family is in need of immediate support, please email
Is there anything you would like us to know about you or your family's wellness and mental health needs?