Youth Advisory Council Application

City of Rockwall

Youth Advisory Council Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone 1*
ex. (111) 222 3333
Phone 2
ex. (111) 222 3333
Email*
example@example.com
Are You a Rockwall Resident?*

YesNo
School*
Date of Birth

MonthDayYear
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?*

YesNo
Please submit at least one letter of recommendation from a teacher, counselor, principal or adult family friend with your application.

Attach Files...

Cancelof
You may also scan and e-mail these letters to kteague@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*
Youth Advisory Council Application
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City of Rockwall