Fillable Mayors Youth Council (MYCity) City of Hopkinsville, KY

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Mayors Youth Council (MYCity) City of Hopkinsville, KY

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Mayor’s Youth Council (MYCity)
City of Hopkinsville, KY
PROGRAM DESCRIPTION & REQUIREMENTS
Initiated by Hopkinsville Mayor Carter M. Hendricks, the Mayor’s Youth
Council is a new student advisory group known as MYCity. High school
students from Christian County public, private, and home schools are invited
to serve on the Council or get involved with Council-led projects. Through the
group, the city aims to provide a voice for area teens, afford them the
opportunity to address issues that affect our community, and offer solutions
and or ideas to the local governing body.
MYCity’s mission is to engage our youth and to equip, inspire, and mobilize
them to take action that betters the community.
Requirements – Applicants must be:
Attend school in Christian County
Entering Juniors or Seniors by Fall 2019
Available for a one-year commitment
Committed to attending and participating in orientation, special events, and monthly meetings
(including at least one meeting per summer)
APPLICATION INSTRUCTIONS
Use the following checklist to be certain that all requested information has been provided. Make a copy of
your complete application, including these instructions, for your personal records before submission to the
City. All application materials must be typed or printed legibly in ink.
Each complete application package must include the student’s:
□ completed application form
□ essay
□ signed parental consent form
□ two (2) letters of recommendation
□ photograph
Incomplete application packages will not be considered. Complete application packages, including all
required documentation, must be received no later than 4:30 p.m. on Friday, August 23, 2019, at the
City of Hopkinsville, Attn: Mayor’s Youth Council, 715 South Virginia Street, Hopkinsville, KY 42240.
Application finalists meeting all program requirements may be offered a personal interview. If an interview is
offered, it will be conducted September 3
rd
through the 6
th
. Council selection notices will be sent to all
applicants by September 11
th
. Selected applicants will receive additional information and instructions at
that time. A mandatory orientation will be held on Wednesday, September 18, 2019 from 4pm -
7:30pm.
Any questions related to MYCity should be directed to Idalia Luna by e-mail at idalia.luna@hopkinsvilleky.us
or by phone at 270-890-0200. MYCity application forms are also available for download at
www.hoptown.org/mayor.
Mayor’s Youth Council (MYCity)
City of Hopkinsville, KY
APPLICATION
All applications must be typed or printed legibly in ink.
Today’s Date __________________ Fall Grade Level: (circle one) 11
th
12
th
Last Name: First Name:
Home Address: Apt#:
City: State: Zip:
Phone #: ( ) Length of time in Christian County School:
Email Address
Which school do you attend? (circle one) CCHS HCA HHS UHA HOMESCHOOL
List school and community involvement (ex. club memberships, leadership positions, teams).
Indicate special awards and recognition.
List your computer skills/program knowledge.
List any community events or programs that you have helped establish, implement, or support.
ESSAY TOPIC: “How can I influence a positive impact on my community?” and “What would I like to gain
by being on the Mayor’s Youth Council?” (300-500 words maximum)
Do Not Write In Box Below
City of Hopkinsville: ___Accept ___ Do Not Accept ___ Waitlist
Parental Consent: Yes ___ No ___ LoR: Yes ___ No ___ Essay: Yes ___ No ___
COH Interviewer(s):
Submitted by:
Mayor’s Youth Council (MYCity)
City of Hopkinsville, KY
A parent or legal guardian of any student applying to participate in this program
must read this form, sign it, and return it to the City of Hopkinsville
with the student’s application package no later than August 30, 2019.
I authorize my child to participate in the Mayor’s Youth Council (MYCity) and support their efforts in
applying and being an active member of the council through the months of September to June.
I am aware that this is a highly competitive program with a limited number of openings. If extended an offer,
my son/daughter agrees to participate and commits to the one year term for the council position. I
understand that my student’s commitment and consistent participation in meetings and events is essential to
making MYCity a successful student-led organization.
I understand my son/daughter must have email and phone access for the program. I understand my
son/daughter must remain in compliance with all electronic devise acceptable use and confidentiality
policies.
I authorize the city to photograph my son/daughter and to publish those photographs and student comments
on the city’s website and/or in other publications.
I understand that my son/daughter will be responsible for his/her own transportation to and from all MYCity
related activities and events.
I have reviewed and concur with the information provided by my son/daughter in completing the application
materials and will attest to its accuracy and truthfulness.
I hereby release and hold the City of Hopkinsville harmless as well as its employees and volunteers from all
liability for any accidents, injuries, or harm that may occur while engaged in such travel or otherwise
participating in the program.
I, (parent/legal guardian’s full name), am the
lawful parent or legal guardian of (student’s full name) and,
therefore, am authorized to grant this permission.
Parent/Guardian’s Signature Date
Mailing Address Apt.
City State Zip Code
Home Phone Work Phone Mobile Phone
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Completed 23 January 2021

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