Dickinson Youth Commission

Dickinson Youth Commission
First Name*
Last Name*
Age*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email*
example@example.com
Gender*

MaleFemale
Birthday*

MonthDayYear
School*
Grade*
School and community activities/Organizations and leadership position experience, if any:
Currently enrolled extracurricular activities:
Essay Questions:

Please answer the following questions in essay format. We want to hear from you, soplease tell us as much as you can.
Why would you like to be a member on the Dickinson Youth Commission?
Please describe what you believe to be the fundamental qualities of a good leader
What is one of the biggest issues you feel youth face in Dickinson or in your neighborhood? Discuss indetail how you would advise the Mayor and City Commission to address that need.
Do you have any experience working on projects to improve your community or speaking out on youth or community issues? If so, please describe your experience.
The Dickinson Youth Commission requires a commitment of time and energy and a minimum of 16 hours per month. Please list the schedules for activities that you will be involved in during the next school year.
Additional Requirement
1. A certification of a 2.0 or better GPA will need to be submitted before you become a qualified candidate for consideration of appointment. This certification will need to updated quarterly.
2. There will be a mandatory orientation and training for all selected youth commission members. The date and time of the orientation is to be announced.
Appointment to the Dickinson Youth Commission is a two-step process: application and personal interview. If your application passes the standards of the Screening Committee, you will receive a letter apprising you of your interview date, time, and location. A member of the current Dickinson Youth Commission, an advisor, and/or one or more members of City Commission will conduct the oral interview.
NOTE: Applicants must be a resident or student enrolled in a Dickinson area school aged 12-18.
Student Signature*

Clear
Date*

MonthDayYear
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Should be Empty:

Dickinson Youth Commission

Essay Questions:

Additional Requirement