Prince George's County Department of Parks and Recreation
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Youth Advisory Council Application

2016 Youth Advisory Council

Please fill out the below application for the Youth Advisory Council. Applications are due

on close of business on Tuesday, September 6, 2016.


Contact Marcus Clark at 301-446-3439 or email

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Zip code:
Home phone:
Other phone:
Name of School:
Year in School:
If not in school, when did you last attend full time:
White, Non HispanicBlack or African American, Non Hispanic
American Indian or Alaska NativeAsian
Native Hawaiian or other Pacific IslanderHispanic
If other, please specify
Are you currently employed?
Hours worked per week:
Parent/Guardian (if 18 years or under):
Zip code:
Home phone:
Work phone:
Cell phone:
Please describe any current or previous involvement with M-NCPPC / Xtreme Teens/ or a youth organization during out-of-school time:
Please list any current or previous extracurricular, volunteer experiences or leadership roles you have had in your school or community:
Briefly explain why you would like to participate in the Youth Advisory Council:
Write a statement describing your feelings on current opportunities for youth voice or youth involvement on important decisions in Prince George’s County?
What other problems or issues are most important to you?
If you are selected, you will be expected to reach out to your peers in the youth leadership organization that you represent. Please describe some ways you plan to engage your peers.
Are you a member of your school’s student council or student government?
Are you a member of another local youth council?
If ‘yes’ to the previous question, what is the name of the group(s) and what is your role?
Are you a member of a national youth council?
If ‘yes’ to the previous question, what is the name of the group(s) and what is your responsibility?
Approximately how many community service hours did you complete in the previous school year?
The Youth Advisory Council is a time-consuming commitment, please provide a list of your current activities.
Can you commit to a monthly meeting from September 2016 to June 2017, plus special functions, projects or events throughout this period?