Youth Advisory Council Membership Application

All application documents must be received by September 30, 2022.



*Enter N/A for fields not applicable*

*Street Address:
*City, State, Zip:
*Phone Number:
*Email Address:
*Age (as of September 1, 2022):
*Parent/Guardian Name (if applicant is under 18):
*Relationship to Applicant:
*Parent/Guardian Street Address:
*Parent/Guardian City, State, Zip:
*Parent/Guardian Phone Number:
*Name of School:
*Type of School:
*Year in School (during 2022-2023 school year):
Freshman (9th)
Sophomore (10th)
Junior (11th)
Senior (12th)
*Enrolled in a GED or Dipoloma Equivalency Program:
*If not currently in school, when did you last attend:
*Briefly explain why you would like to participate in the Youth Advisory Council and what contributions you would bring as a member.:
*Briefly explain what you hope to gain from your experience with the Youth Advisory Council.:
*What issues are you most passionate about and why? As a member of the Youth Advisory Council, how would you address these issues?:
*Describe a time when you found yourself in a leadership postion and there was conflict or disagreement. How did you respond to the situation?:
*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.:
*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 Youth Advisory Council and your other activities.:
*How did you hear about the Youth Advisory Council? (check all that apply):
Mayor or Council Member
Frederick County Public Schools
City Website

* - denotes required field

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City Hall | 1 West Potomac St. | Brunswick, MD 21716 | (301) 834-7500 | Hours 8:00 a.m. - 4:30 p.m. |
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