City of Rockwall
Youth Advisory Council Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Phone 1
*
ex. (111) 222 3333
Phone 2
ex. (111) 222 3333
Email
*
example@example.com
Are You a Rockwall Resident?
*
Yes
No
School
*
Date of Birth
/
Month
/
Day
Year
Grade
Age
Clubs/Activities
Why are you interested in the Youth Advisory Council?
Participation requirements are part of the YAC program. Are you willing to commit to the time & effort required?
*
Yes
No
Please submit two letters of recommendation from a teacher, counselor, principal or adult family friend with your application.
Attach Files...
Cancel
of
You may also scan and e-mail these letters to
kcole@rockwall.com
OR
fax them to (972) 771-7727
OR
mail them to:
Rockwall City Hall: Attention City Secretary
385 South Goliad Street
Rockwall, TX 75087.
Please verify that you are human
*
Submit Your Application
Youth Advisory Council Application
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