Community Circle of Care

1-877-243-0292

Decorah

1-877-571-9797

Dubuque

1-888-588-0903

Oelwein

1-866-279-5023

Community Circle of Care Youth Board

If you are between the ages of 11-21 and:

You want to make a REAL difference in what mental health services and programs are provided to youth in your community
You want to build leadership, communication, social, and teamwork skills
You want the opportunity to attend local, state, and national meetings and conferences
You want to show the community that youth (YOU!!) are a valuable resource
You want to make friends and have fun!!

Submit an online application

* Name:
Address:
Phone:
* Email Address:
Birth Date:	(mm/dd/yyyy)
Why would you like to be a part of the Community Circle of Care Youth Advisory Council?

What changes would you like to see for youth in your community (in particular youth who have mental health concerns)?

What are your interests and talents?

Anything else you would like to share?

Do you have any questions about the Youth Advisory Council and what we do?

Download and mail the application

Step 1: Download the application
Step 2: Mail the application to Jill Kluesner, Youth Coordinator, at Jill-Kluesner@uiowa.edu or:

Community Circle of Care
Attn: Jill Kluesner
799 Main Street, Nesler Centre Suite 370
Dubuque, IA 52001