Lane County Youth Advisory Committee
Participant Application Form
Street Address Line 2
State / Province
Postal / Zip Code
If you are in school, which school will you attend in Fall 2021?
If you are in school, what grade will you be in Fall 2021?
If you are not in school, what are you plans for Fall 2021?
How did you hear about the Lane County Youth Advisory Committee?
Why do you want to be a member of this committee? Please describe any communities you represent or could help engage in the work.
Tell us about some of the transportation issues that are most important to you in your neighborhood, your city, and the broader community of Lane County.
Committee members are required to attend monthly meetings and commit 10 hours per month on committee work. Describe other school or community activities you are involved in and how will you balance your schedule in order to honor the commitment to participate in the committee.
Tell us about any experience you have in community service or advocating for community improvement (it does not have to be transportation related).
What else would you like us to know about you? Feel free share any hobbies you have, something you are proud of or any other interest you have.
Tell us how you travel. Rank from More Frequent (1) to Less Frequent (7)
You drive yourself
A parent or friend drives you
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