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Youth Commission Application
Applicant Information
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Applicant's Email Address
*
Your answer
Applicant's Phone Number
Your answer
Applicant's Street Address
Your answer
Applicant's City
Your answer
Applicant's Zip Code
Your answer
Applicant's Birth Date
MM
/
DD
/
YYYY
Applicant's High School
Your answer
Current GPA
Your answer
Current Grade
*
10th Grade
11th Grade
12th Grade
Other:
Applicant's Shirt Size
*
XS
S
M
L
XL
XXL
Applicant's Race
*
African American
Asian
Carribean
Caucasian
Hispanic
Indian
Native American
Applicant's Health Information (Medication, Special Conditions, Allergies, Dietary Restrictions, etc.)
Your answer
Qualification Checklist
You are a resident of DeKalb County
Parent/Guardian's Name
Your answer
Parent/Guardian Daytime Phone Number
Your answer
Parent/Guardian Email Address
Your answer
Nomination Section
Nominator's Name
Your answer
Nominator's Title
Your answer
Nominator's City, State & Zip Code
Your answer
Nominator's Phone Number
Your answer
Nominator's Email Address
Your answer
Nominator Statement
Your answer
Will you be able to attend the mandatory orientation September 29, 2020?
Yes
No
Maybe
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List a few of the extracurricular activities you have participated in during the past three years. Add any offices held and/or awards received (Organization, Position Held, Date of Involvement).
Your answer
Essay Section: In your opinion, what are the three important issues facing DeKalb County youth today, and how would you address these issues?
Your answer
Essay Topic: From the three topics listed above, choose and write about an issue that you think is the most important one facing DeKalb County youth today.
Your answer
Your checklist of attachments:
NOMINATION STATEMENT from teacher, counselor, school administrator, commissioner or civic/community leader.
ESSAY (Two page, double spaced) - An organized document that includes an introduction, a body with supportive ideas and a conclusion with a specific positive action that you think will resolve this issue.
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