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GONZALES YOUTH COUNCIL-Youth Council Member Application
HAVE QUESTIONS? FOR ADDITIONAL INFORMATION, CONTACT:
Aidan Cervantes and Magaly Santos
Youth Commissioners’ email:
GYC@gonzales.k12.ca.us
* Indicates required question
Email
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Your email
A. General Information:
Full name:
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Your answer
Birthday
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MM
/
DD
/
YYYY
School
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Your answer
Incoming Grade Level (The grade you will be in for the 2020-2021 school year)
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8th
9th
10th
11th
12th
Mailing Address (Please include City, Zip code, and State)
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Your answer
Phone Number (personal)
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Your answer
Parent/Guardian Name and Phone Number
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Your answer
B. QUESTIONS:
1. Why are you interested in serving on the Youth Council?
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Your answer
2. What do you believe will be the most challenging about successfully serving as a Youth Council member?
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Your answer
3. What do you most want to gain from this experience?
Your answer
4. Please list your community involvement, extracurricular activities &/or leadership experiences. Be sure to note which are prior, current, or expected future activities.
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Your answer
We are planning to have meetings from 3-5pm on Wednesday. Does this time work for you, if not write down a time that does.
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YES
NO
Other:
Required
C. ESSAY
What are some of your concerns &/or goals related to improving your school, community, and/or city? Please share why these concerns/goals are significant to you AND at least one idea you have for addressing via the Gonzales Youth Council.
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Your answer
D. Reference Information
Please share the Name, email/phone number, and relationship to an adult who would be willing to recommend you for this position (e.g., teacher, coach, advisor, mentor, pastor, etc.).
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Your answer
E. Verifying Agreement
Please copy and paste this link to send you to the google doc with information necessary to complete the following questions:
(
https://docs.google.com/document/d/1VJFvMlBp0D8e0Jzxd2XfPnXY_gw_WOxd92W7nPHJb3Q/edit?usp=sharing
)
By checking "YES", you affirm you understand and agree to fulfill the Gonzales Youth Council (GYC) Member responsibilities; and you know you want to make Gonzales an even more youth-friendly and success-supporting, you understand the commitment required for being a successful Youth Council Member, and you believe you have what it takes to be a successful Youth Council Member.
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YES
NO
By checking "YES", you affirm you understand and agree that you have read over all the valuable information that includes important dates, roles and responsibilities of a member, application checklist, eligibility to serve, benefits, and process.
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YES
NO
F. Questions, Concerns, and/or Additional Considerations (comments)
Please share any questions, concerns &/or additional considerations you like the Selection Committee to address:
Your answer
A copy of your responses will be emailed to the address you provided.
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