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2. The Youth Advisory Council will advise City officials and staff on policies, programs, and issues relating to youth in the community, and will strive to ensure that youth are an integral part of the City’s decision-making processes.
4. Name
6. Address
8. City
9. County
10. State
11. Zip Code
13. Home Phone
14. Other Phone
16. E-mail
18. Age:
20. Parent /Guardian (if under 18):
22. Name
23. Relationship
25. Address
27. City
28. State
29. Zip Code
31. Home Phone
32. Work Phone
33. Cell Phone
35. Name of School
37. Type of School

    1. Public
    2. Private
    3. Homeschooled
38. Year in School (during the 2020-21 school year)

    1. Freshman
    2. Sophomore
    3. Junior
    4. Senior
40. Enrolled in a GED or diploma equivalency program:

    1. Yes
    2. No
42. If not currently in school, when did you last attend:
44. 1) Briefly explain why you would like to participate in the City of Frederick Youth Advisory Council and what contributions you would bring as a member
46. 2) Briefly explain what you hope to gain from your experience with the City of Frederick Youth Advisory Council
48. 3) What issues are you most passionate about and why? As a member of the City of Frederick Youth Advisory Council, how would you address these issues?
50. 4) Describe a time when you found yourself in a leadership position and there was conflict or disagreement. How did you respond to the situation?
52. 5) If you are selected, you will be expected to reach out to the youth you represent in your school and community. Please describe some ways you plan to engage your peers.
54. 6) List any employment, activities, or groups that you plan to be involved during the year and describe how you will balance your commitment to the City of Frederick Youth Advisory Council and your other activities.
56. 7) How did you hear about the City of Frederick Youth Advisory Council? (Check all that apply)

    1. Mayor
    2. Board of Alderman
    3. Boys and Girls Club
    4. YMCA

    1. Frederick County Public Schools
    2. Neighborhood Advisory Council
    3. Student Homelessness Imitative
    4. Housing Authority

    1. Flyer
    2. Facebook
    3. Other (List other below)
58. Other
60. Please include three letters of reference (teacher, coach, pastor, advisor, professor, principal, etc.)
62. Reference #1
63. Reference #2
64. Reference #3
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field