Youth Advisory Committee Member Profile Form

Youth Advisory Committee Member Application Form
Your Name
Your Address
City
Zip Code
Home Phone #		Cell Phone #
*e-Mail Address
School		Grade Level (2008-09)
Career Ambition
Extra Curricular Activities
Hobbies/ Interests
List any community service projects/organizations with which you have been involved:
What are your goals and ambitions as a member of the YAC?
*your e-mail address is required to submit form