2026 Youth Collaboratory Membership

Please select your Membership Type.

Organizational MembershipIndividual Membership

Organizational Member Information

Organization or Company Name

Website URL

Facebook URL

Linkedin URL

Mailing Address

Address Street 1

Address Street 2

City

State

Zip Code

Areas of Focus - Please select all that apply. Press and hold CTRL on your keypad to make multiple selections.

What community-level risks do your agency's services primarily work to prevent and address that affect young people’s potential and life outcomes? Please select all that apply. Press and hold CTRL on your keypad to make multiple selections.

Annual Revenue

In what year did your agency start providing youth services?

What is the age range of the population for which your organization provides services? Select all that apply. Press and hold CTRL on your keypad to make multiple selections.

How would you describe the area where your agency programs are located? Note: Please select all that apply. Press and hold CTRL on your keypad to make multiple selections.

Approximately, how many youth (under 18) did you serve in the past year?

Approximately, how many young adults (18-24) did you serve in the past year?

Point of Contact Information

First Name

Last Name

Title

Phone Number

Email

CEO/Executive Director Information

First Name

Last Name

Email

Finance Contact

First Name

Last Name

Email

Additional Staff Contact

First Name

Last Name

Title

Email

Phone Number

Level 5 - Membership - $4,350

I benefit from advocacy efforts geared to programs that impact the youth and families we serve, and am prepared to contribute to increase funding and public support for all of these programs. Please add $4000 to my Youth Collaboratory Base Membership!

Level 4 - Membership - $3,350

Level 3 - Membership - $2,350

Level 2 - Membership - $1,350

Level 1 - Membership - $350

I would like to join or renew my organizational membership at the minimum Organizational Member investment.

ADD ON: Young Person Sponsorship - $75

Add $75 to support young people as advocates. My contribution directly supports training and travel for youth and young adults to engage in advocacy on the federal level.

ADD ON: Customer Investment - $

Please add this additional investment to my membership fee.

Please select a level of membership.

Individual Member Information

Point of Contact Information

First Name

Last Name

Title

Phone Number

Email

I would like to provide my Organization / Company information.

Organization Information (if applicable)

Organization or Company Name

Website URL

Facebook URL

Linkedin URL

Areas of Focus - Please select all that apply. Press and hold CTRL on your keypad to make multiple selections.

Mailing Address

Address Street 1

Address Street 2

City

State

Zip Code

Youth Collaboratory offers a no cost membership to youth and young adults under 26. Please select your age to be directed to the correct payment structure.

Under 26 years of age

26 years of age and older

Individual Membership 2026 Annual Member Fee - $75

Annual Individual Membership fee for individuals 26 years of age and older.

ADD ON: Young Person Sponsorship - $25

Add $25 to support young people as advocates. My contribution directly supports training and travel for youth and young adults to engage in advocacy on the federal level.

Individual Membership 2026 Annual Member Fee (Under 26) - $0

Annual Individual Membership for individuals under 26 years of age.

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TOTAL:

Mission Statement Affirmation

As a member of Youth Collaboratory, I/we affirm that I have read the mission statement, and understand that Youth Collaboratory centers authentic youth collaboration in all of our work locally and nationally.

Please check to affirm

Payment Information

Name on Card

Card Number

Code

Billing Email

Billing Address

Billing Address Street 1

Billing Address Street 2

Billing City

Billing State

Billing Zip Code

Contact Information

2026 Youth Collaboratory Membership

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