First Name:
Last Name:
Age:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email Address:
High School:
Grade:
Emergency Contact #1 Name:
Phone:
Emergency Contact #2 Name:
Phone:
How did you hear about MYAC?
Tell us about yourself. What school sanctioned activities are you involved
in? (This includes
athletics, clubs, advanced courses and other extra curricular activities.)
What community organizations, groups, clubs and activities are you involved in?
What is the (1) most important skill or attribute you will bring to the Mayor's
Youth Advisory Council?
What are some of your ideas for improving the City of Meridian?
Why would you like to be a member of the Mayor's Youth Advisory Council?
What activities are your currently involved in that could potentially conflict with
your involvment
in the MYAC? How would you resolve these conflicts?
MYAC Meetings are at 7:00pm on the second and fourth Mondays
of each month
at the Meridian City Hall at 33 E. Broadway.
By checking this box I verify that
the information contained in this application is true and accurate
and that my parent(s)
and/or legal guardian(s) are supportive of my participation in this organization.
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