Work (paid)

Volunteer Work and Community Service (unpaid)

EXTRACURRICULAR ACTIVITIES

High School Honors and Awards

Certification

I certify that I have considered each question carefully and that my statements are true and complete to the best of my knowledge.

Furthermore, I understand that acceptance as a Youth Council Member may be denied or revoked if any information is found to be incomplete or inaccurate.

IMPORTANT: Your electronic signature (please type your full name) is required below. Without your signature, your application is not complete.