Member Login

PA Prevention Youth Summit Application

Applications are Due by 5:00 pm on November 14, 2025.

If you have any questions, please contact CPA’s Executive Director, Jeff Hanley: jeff.hanley@paprevention.org

We welcome applications from both established and newly forming coalitions. If your coalition is still in the early stages, please answer each question to the best of your ability, describing your progress and future plans where applicable.

Youth Summit Application

Coalition Information

Coordinator's Information

Name
Name
First
Last

Coalition Details

1. Please provide a brief description of your youth coalition, including its history, demographic makeup, and structure.
2. How does your coalition engage youth in building leadership skills, and what protective factors (such as youth voice, supportive relationships, or school/community involvement) help make that possible?
0 of 300 max words
1. What successes has your youth coalition experienced in elevating youth voices and strengthening prevention in your community?
2. What barriers or challenges have you encountered in this work, and how have you addressed them?
3. What additional support would help your coalition continue to amplify youth voices and expand prevention impact?
0 of 300 max words
1. Legislators and the media will benefit from hearing a wide range of perspectives during the summit. What strengths, unique experiences, or perspectives will your youth coalition bring to help highlight the importance of prevention and youth voice?
2. What key issues would you like addressed at the Summit, whether at the press event or in meetings with legislators?
3. How does your coalition create inclusive opportunities for youth from diverse backgrounds?
0 of 300 max words
1. How many youth participants do you anticipate bringing to the Capitol? (This is just an estimate and may change.)
2. Please list the approximate grade levels of the youth you anticipate bringing.
0 of 300 max words
Stipend
Will your coalition need the $1,000 stipend to participate in the 2026 Youth Summit?
If your coalition does not require the stipend, it allows us to invite an additional coalition to participate.
Youth Prevention Alliance (YPA) Participation
Do you have one to two students who would be willing to participate on the Youth Prevention Alliance (YPA)? (See previous page: What's New in 2026 - The Youth Prevention Alliance)

After applications close, CPA will coordinate training dates with all participating coalitions to schedule adult and YPA sessions. 

Training Commitment
Will you (or another adult leader from your coalition) and any selected YAP members commit to attending the required trainings?

Back To Top