To complete this application you may upload (text or pdf files):

  • One community or academic recommendation
  • Interview (required)
  • Résumé (optional)
  • Supporting materials including news articles, citations, awards, or video (optional)

Prefer to complete your application offline?

Contact Information

Current School (if applicable)

Optional Demographic Disclosure

Birthday (YYYY-MM-DD) With which race/ethnicity do you identify? (Select all that apply) African American or BlackAmerican Indian or Alaska NativeAsian American or AsianHispanic or LatinxMiddle EasternMultiracialPacific IslanderWhite or Caucasian An identity not listed, self-identify
What sex were you assigned at birth, on your original birth certificate? MaleFemaleOther With which sexual orientation do you identify? (Select all that apply) AsexualBisexualGayHeterosexualLesbianPansexualQueerQuestioning or unsure An identity not listed, self-identify
Do you identify as someone with a disability or impairment? YesNo Have either of your parent(s) or guardians earned a bachelor’s degree or higher? YesNo
Marital status Do you have children under 18 years old living at home? Yes
What is your family's combined annual household income? Below $20,000$20,000-$45,000$45,001-$70,000Over $70,000
Primary spoken language
Other languages (include fluency level)


Please write a brief autobiographical essay (500 words or less).*

Please be sure to include the following topics:

  1. Your background
  2. Why you want to serve on the YWAC
  3. The skills and attributes you bring to the YWAC learning community
  4. Your vision for your future



Please attach one letter of recommendation from a community member, teacher, or mentor. Please do not submit a recommendation from a relative. (doc, docx, txt, or pdf no larger than 1mb).

What is your relationship to the person who is recommending you?
How long have you known this person?

Interview (Required)

A brief interview at The Women’s Fund of Western MA office in Springfield is required of all finalists. It will be scheduled at a convenient time for both parties. Skype or video may be permitted.

Résumé (Optional)

Upload your résumé (doc, docx, txt, or pdf no larger than 1mb).


Video (Optional)

The video should highlight an accomplishment or creative venture and supplement the essay questions. Please email video file (or link) to Christine Monska, Officer for Community and Youth Investments.

  • Videos should not exceed 30 seconds in length
  • Videos may be shot using mobile phones – no need for professional format
  • Accepted formats: WMV, MOV, or MPEG
  • Please indicate if you would allow the Women’s Fund to use your video for program promotion.

Supporting Materials (Optional)

Supporting materials including news articles, citations, or awards

Applicant Signature

I understand that the Young Women's Advisory Council is a learning community of young women committed to social change. I honor this community by accurately and truthfully representing myself and my information in this application, and by agreeing to attend all meetings if selected. I also know and agree with the importance of teamwork and cooperation. I am able to make such a commitment.

By checking this box and typing my name below, I am electronically signing my application.

First name* Middle initial* Last name*
Parent/guardian permission (required for participants under 18 years old):
I hereby give my child permission to apply for selection to the Young Women's Advisory Council.
First name Middle initial Last name