Fillable St. Helens Youth Council Application (CITY OF ST HELENS)

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St. Helens Youth Council Application (CITY OF ST HELENS)

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File type: PDF

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St. Helens Youth Council
Application
Student Name Age Grade
Address
Home Phone Cell Phone
Email Address
Parent/Guardian’s Name(s)
Home Phone Cell Phone
Email Address
Emergency Contact Name Phone
Will you be able to attend SHYC meetings once or twice a month? (check one) 1____ 2____
Why would you like to be a member of SHYC? What do you hope to gain from this experience?
Describe your skills and strengths and why they would be great for SHYC.
SHYC hosts a variety of programs and events. These activities require each of the members to
take on a number of roles such as speaking roles, technology roles, behind the scenes planning,
etc. What type of roles are you comfortable taking on?
In your opinion, what is the greatest issue youth are faced with today?
If given the resources, what do you envision you could do to help address this issue?
Please describe any experience (volunteer) which has helped prepare you for a position on
SHYC.
How did you hear about SHYC?
Are you interested in being on the SHYC Executive Committee? If so, what position?
President____ Vice President____ Treasurer____ Secretary____ City Council Representative____
Please provide the contact information for two references (not related to you).
Reference #1
Name and Title
Address
Phone Email Address
Reference #2
Name and Title
Address
Phone Email Address
Print Student Name Student Signature Date Signed
Print Parent Name Parent Signature Date Signed
Please return to:
Kathy Payne, City Recorder
St. Helens City Hall
265 Strand Street
St. Helens, OR 97051
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St. Helens Youth Council Application (CITY OF ST HELENS)

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Completed 24 January 2021

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