Youth Advisory Council Application

Youth Advisory Council Application

Please be sure to complete the entire application. Applications are due back by October 7, 2025
Student Information
Applicant's Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Parent/Guardian Information
Parent/Guardian 1 Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 2 Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is at least one parent/guardian aware that you are applying for this council?*

YesNo
School Information
School Name*
Principal's Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
School Website (if any)
Response Questions
What are the top three social issues from the list below that you consider yourself passionate about?*
*
*
Are you a member of your school's student council or student government?*

YesNo
Are you a member of another local youth council?*

YesNo
If yes, what is the name of the group(s) and what is your role?
Approximately how many hours of community service did you complete this past year?*
Can you commit to being an active member of the council through the entire school year?*

YesNo
How did you hear about this program?*
Please list any additional leadership roles/positions you have held or service awards you have received (include dates, names of awards, and your role titles)
Narrative Questions
List 3 skills or traits that an exemplary leader possesses and illustrate how you have demonstrated these skills or traits in your own volunteer work:*
Choose one social issue that you are passionate about. What inspired your commitment to this issue? *
Name someone who has been an inspiration to you. What about them inspires you? *
Please attach a letter of recommendation:*

Cancelof
Applicant Signature
Please verify that you are human*
Should be Empty:

Youth Advisory Council Application

Student Information

Parent/Guardian Information

School Information

Response Questions

Narrative Questions