"*" indicates required fields Contact InformationName* First Last Address* Street City State Zip Code Email* Phone*School Information – Write N/A if not applicable* School Current grade Tell us about yourself!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)CAPTCHANameThis field is for validation purposes and should be left unchanged.
