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

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Name:
Gender:
MaleFemale
Address:
City:
State:
Zip code:
Home phone:
 
Other phone:
 
Name of School:
Year in School:
If not in school, when did you last attend full time:
Age:
E-mail:
 
Race/Ethnicity:
White, Non HispanicBlack or African American, Non Hispanic
American Indian or Alaska NativeAsian
Native Hawaiian or other Pacific IslanderHispanic
Other
If other, please specify
Are you currently employed?
YesNo
Hours worked per week:
Parent/Guardian (if 18 years or under):
Name:
Relationship:
Address:
City:
State:
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.