CITY OF HAMPTON YOUTH COUNCIL Membership Application

CITY OF HAMPTON YOUTH COUNCIL Membership Application — 2026-2027 Term
Rooted in Community. Rising in Opportunity.
Applicant Information
Name

First NameMiddle InitialLast Name
Cell Phone
Format: (000) 000-0000.
Email Address
example@example.com
Home Address
City, State, Zip

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Polo Shirt Size (S / M / L / XL / XXL)
Grade for 2026-2027 (9th / 10th / 11th / 12th)
Name of School
Food Allergies / Special Diet
Parent/Guardian Name
Phone
Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Second Parent/Guardian Name (optional)
Phone
Format: (000) 000-0000.
Second Parent/Guardian Email (optional)
example@example.com
Application Questions
1. The City of Hampton is providing elite students the opportunity to be part of civic engagement projects and policies. Please share with us what sets you apart from other applicants and why you should be chosen to serve on the Youth Council.
2. What would you like to accomplish as a member of the Hampton Youth Council?
3. Name any organizations, clubs, or teams of which you are currently a member and any leadership roles you serve.
4. In your opinion, what is one of the most challenging issues facing youth today, and how does it affect your generation?

Commitment
To successfully complete the City of Hampton Youth Council, a participant must:
- Attend a school within the City of Hampton and be in the 9th, 10th, 11th, or 12th grade for the 2026-2027 school year.
- Commit to attending the nine scheduled monthly meetings, Sept–May (one excused absence permitted).
- Be willing to engage the Mayor and Council as well as their student bodies and attend City Council Sessions on the second Tuesday of each month at 6:30 P.M.
- Agree to complete 40 hours of community service.
- Obtain transportation to and from meetings and events.
- Be on track to graduate.
- Be present at various City of Hampton events throughout the year.
Code of Conduct
- Be prompt and present at all meetings and dress appropriately.
- Be respectful in the treatment of and interaction with other people.
- Be mindful of safety issues to ensure that everyone stays safe from harm and injury.
- Be courteous and do not talk on the cell phone during meetings (silence your cell phone, please).
- Be aware of inappropriate behavior and always conduct yourself in a respectable manner.
Agreements & E-Signatures
I agree with the Commitment, Code of Conduct, and attendance requirement above.
Applicant E-Signature (type full legal name)
Date

MonthDayYear
Date
As the parent/guardian of this applicant, I support his/her participation and commitment to the City of Hampton Youth Council. I understand, acknowledge, assume, and accept the risk that accidents may occur while my child participates in Hampton Youth Council. I, the undersigned, assume the risk for all injuries occurring to my child arising out of all events at Hampton Youth Council.
Parent/Guardian Printed Name

First NameLast Name
Parent/Guardian E-Signature (type/apply full legal name)
Date

MonthDayYear
Date
I confirm that the applicant is on track to graduate and can serve on the Youth Council.
Printed Name and Title of School Official
School Official E-Signature (type/apply full legal name)
Date

MonthDayYear
Date
Include a letter of recommendation from two adults — one teacher and the second a community leader — who have known you and can provide a testimony of your leadership potential and ability to manage the demands of both school and the Youth Council. Those can be emailed to mhood@hamptonga.gov
Submission & Deadline
Deadline to apply: September 15, 2026.
Mail or deliver completed applications to: City of Hampton, P.O. Box 400, Hampton, GA 30228,or call 770-946-4306.
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CITY OF HAMPTON YOUTH COUNCIL Membership Application — 2026-2027 Term

Applicant Information

Application Questions

Commitment

Code of Conduct

Agreements & E-Signatures

Submission & Deadline