Application For Renewing Membership - Mayor's Youth Advisory Commission
Student's Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone #:
*
Format: (000) 000-0000.
Your address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Parent/ Guardian E-mail
*
example@example.com
Parent/Guardian Daytime Phone #:
*
Format: (000) 000-0000.
Grade for school year?
*
Please Select
Freshman
Sophomore
Junior
Senior
Name of School
*
Applicant must be a Glendale resident, attend a Glendale school or be homeschooled in Glendale.
Have you previously served on MYAC?
*
Yes
No
Is yes, when?
2024-2025
2025-2026
Expectations and Requirements:
(Please read and acknowledge)
As a returning member of MYAC, I understand that to remain in good standing with MYAC I will complete a MINIMUM of 20 community service hours by May 14, 2027 at 11:59 PM.
*
I understand
As a returning member of MYAC, I understand that I am responsible for submitting my service hours and photos for credit within 30 days of the event. I understand that failure to submit this information on time may result in losing credit for the event.
*
I understand
As a returning member of MYAC, I understand that I can not have more than one (1) unexcused or two (2) excused absences from monthly meetings from August to April.
*
I understand
Additional Bylaws will be provided upon acceptance into MYAC.
*
I have read, understand, and accept the expectations and requirements listed above for MYAC membership.
Digital Signature of my Parent/Guardian agreeing to application expectations and requirements listed (above):
*
Parent/Guardian must type/enter their own name
Submit Application
Should be Empty: