Youth Voice Committee Application

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Name

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Name*

First Last

Address*

Street City State Zip Code

Email*

Phone*

School Information – Write N/A if not applicable*

School Current grade

What are your interests?*

What skills can you offer and are willing to use when serving as a member?*

Do you serve on any community boards or committees or volunteer for any community organizations? If so, list them.*

Do you have a full time or part-time job? If so, what is it, and who is your employer?*

Why do you want to be part of the Youth Committee?*

Tell us a little about your life, your family and background, your wishes for your future life, etc*

What are some things you would like to see the Youth Committee accomplish?*

If you could meet anyone in history, who would you choose and what would you ask them?*

Is there anything else you’d like to tell us?

Please provide a brief synopsis of what your current mode of transportation is. (motor vehicle or public transportation)

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