Youth Advisory Committee Application - Petoskey-Harbor Springs Community Foundation

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2021 Youth Advisory Committee Application

Name*
Name
First Last
Age*
Age
Gender
I identify my gender as:
Mailing Address:*
Mailing Address:

Street Address Address Line 2 City State ZIP Code
Phone*
Phone
*
Student's Email Address (use an address that you check regularly as this is a primary method of communication for YAC).
Parent/Guardian 1*
Parent/Guardian 1 Name
First Last
Parent/Guardian 1 Email Address
Parent/Guardian 2
Parent/Guardian 2 Name
First Last
Parent/Guardian 2 Email Address
School*
School Attending in 2021-22:
Other school
If other, please specify:
Grade*
Grade Entering in Fall 2021:
Impactful*
Share something you've been a part of that has been impactful in your life.
Goals for YAC*
What specific goals would you hope to accomplish as a YAC member? What do you hope to gain from serving on YAC?
Causes*
What are some of the causes you are passionate about?
Issues*
What are some of the issues facing students in your school or young people in your community?
Unique*
What unique perspective would you bring to the YAC?
Animal*
If you were an animal, what would you be and why?
Friend Describe*
What word would your best friend use to describe you? Why?
Free Time*
How do you like to spend your free time?
Extracurriculars*
What extracurriculars or activities are you active in?
Meeting Schedule*
The YAC meets once per month on Sunday afternoon in Petoskey and twice per school year for a full school day. Our attendance policy allows two absences. Please describe any barriers or conflicts that may prevent you from meeting this commitment (e.g. other activities, rides, cost of gas, etc.).
How learn*
How did you learn about the Youth Advisory Committee?
Consent*
I acknowledge that the information provided in this application is accurate and I have the support of my parent/guardian(s).
I agree.*

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