Rev 1/18 AZ
Community Services Department
3300 Capitol Ave., Bldg., B
P.O. Box 5006, Fremont, CA 94538
510.494.4344 | azambrano@fremont.gov | www.fremont.gov
Return Application to: City Clerk’s Office
3300 Capitol Ave., Bldg., A
Fremont, CA 94538
Or to: cclerk@fremont.gov
Date submitted:_________________________
Application for Youth Advisory Commission
Name: ___________________________________________________________________________________________
Address:__________________________________________________________________________________________
Birthdate:_________________________ Age:________ Sex: M / F E-mail address:___________________________
Telephone:_________________________ School:_______________________________________ Grade:__________
Why do you want to serve on the Youth Advisory Commission?
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What is a problem Fremont teens face and propose an event to address this problem. How would you organize and
publicize this event?
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Rev 1/18 AZ
What are three (3) aspects of your identity that shape your outlook on life?
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Create and answer your own question.
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