Youth Voice in Local Government

Application to Serve.

Your input will make a difference. Apply today! Training will be provided

Committee Selection

Please complete an application for each committee you want to apply for.

Service area of Committee/Board/Commission:

Name of Committee/Board/Commission:

Section 1

Name:
Address:
City:
State:
Zip Code:
School:
Grade:
Phone:
Email:

Briefly tell us why you want to serve and/or continue to serve on this committee:

Section 2

List any special background or experience you have which would be helpful to this committee:

List any service organizations you have or are currently serving on:

Is there any concern about getting out of school/work to attend meetings?

Are you able to meet at the assigned meeting times? List any conflicts. (e.g.: transportation issues)

As a participant, I realize that such a privilege involves certain responsibilities. I have read and understand these responsibilities and further understand that if my conduct does not meet these standards, I relinquish the right to serve.

Youth Name:		Date:
Parent Name:		Date:

Keywords:
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