City of Takoma Park Youth Council

Application for the 2021-2022 Term

Application Deadine: Friday, July 16, 2021

Thank you for your interest in serving on the Youth Council!

Before you begin, be sure to read the Youth Council Charter.

Your application will be reviewed by the Mayor and City Council. We will contact you by July 23 to let you know if you are selected.

If you have any problems with the form or need additional information, please contact Jessie Carpenter, City Clerk: JessieC@takomaparkmd.gov (240-723-0437).

Ward

Tell us about any activities you participate in at school (sports, music, clubs, service organizations, etc.):

Please tell us what you do outside of school (sports, youth groups, scouts, church group, volunteering, etc.):

As a member of the Takoma Park Youth Council, you will bring the perspective of young people in the community to the City Council and City staff. The Youth Council will focus on areas of importance to young people, bring forth issues of concern to be discussed by the Youth Council, and suggest ideas for young people to participate in the community.

What do you like best about living in Takoma Park?

What do you like least about living in Takoma Park?

Describe one problem or concern of young people that you would like the Youth Council to discuss.

Tell us one idea you have for making positive change for young people in the City.

Additional Personal Information (Required)

Phone

Date of Birth

Age

School

Grade

GPA

Optional Questions Section

Please share the following information about yourself.

Gender

Race

Do you speak a language other than English at home?

Yes

If yes, what other language do you speak?

If you have any additional information you would like to share about yourself, please add it here.

Parent or Guardian Information Section

Parent/Guardian Name

Parent/Guardian Telephone Number

Parent/Guardian Email

Signing Information

STUDENT SIGNATURE

By submitting this application, you agree to:

• Attend meetings of the Youth Council

• Represent the interests of the youth of Takoma Park

• Actively participate in meetings and projects – everyone’s ideas are important!

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

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