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Teen Action Committee (City of Yorba Linda)

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2020 - 2021
Teen Action Committee
Application Packet
The Yorba Linda Teen Action Committee program is a leadership based
volunteer organization, designed for 7
th
and 8
th
Grade middle school
students who live in or attend a public or private school in Yorba Linda.
In order for your application to be considered, please follow these steps:
1. Review the Teen Action Committee Program Description and complete the
Application with your parent/guardian (both included in this packet). Be sure you
include the appropriate signatures.
2. Submit the completed application by Friday, September 18, 2020 at 5:00p.m.
to the Thomas Lasorda Jr. Field House, 4701 Casa Loma Avenue, Yorba Linda 92886.
3. A Teacher Recommendation Form has also been included in this packet. This
form is to be completed by a teacher from the current school year. Teacher
Recommendations must also be received by Friday, September 18, 2020
at 5:00p.m. Please give teachers the form with plenty of notice and include a
stamped envelope addressed as follows:
City of Yorba Linda Parks and Recreation
Attn: T.A.C. Program
4701 Casa Loma Ave.,
Yorba Linda, CA 92886
Applications can also be emailed to Teenvolunteer@yorbalindaca.gov
Upon receipt of the above materials, your information will be reviewed, and you will be
contacted during the week of September 21, 2020 regarding a potential interview.
Thank you for your interest in the City of Yorba Linda’s Teen Action Committee
Program.
TEEN ACTION COMMITTEE 2020-2021
PROGRAM DESCRIPTION
TEEN ACTION COMMITTEE 2020-2021
The City of Yorba Linda Parks and Recreation Department is currently looking for
enthusiastic and responsible 7
th
and 8
th
grade middle school students to form the Teen
Action Committee (T.A.C.) for the 2020-2021 school year.
Purpose: To provide positive leadership, recreational, educational, and social
opportunities to middle school students during non-school hours. Teen Action Committee
members will participate in a variety of community service projects as well as assist in
planning and implementing city-sponsored events.
Mission Statement: T.A.C membership provides opportunities for local youth to learn
and practice leadership and citizenship skills that empower them to give back to their
community and beyond.
Benefits: T.A.C. members will not only develop leadership skills through activities and
events but will gain a sense of accomplishment by participating in educational,
recreational and social opportunities. T.A.C. members will also have the opportunity to
meet new people outside of their school. Other opportunities include meeting and serving
the residents of the Yorba Linda community at different special events. This community
service recognition can be used for high school and/or college applications.
Requirements: All T.A.C. members are required to attend a monthly meeting, one
service project event per month, and commit to volunteering a minimum of twenty hours
(20) of community service for City of Yorba Linda’s special events and/or other nonprofit
programs. T.A.C. members are expected to actively participate and contribute during all
meetings and assigned programs.
Duties: Duties may include, but are not limited to, meet to plan and assist with the
planning of teen events, participate in initiatives from both local and national nonprofit
organizations, and volunteer for City programs and special events.
Teen Action Committee applications will be available starting Monday, April 6, 2020
at City Hall, the Community Center, Thomas Lasorda Jr. Field House, Travis Ranch
Activity Center and from the Activities Directors at Bernardo Yorba, Travis Ranch,
Kraemer, and Yorba Linda Middle Schools, and online at www.yorbalindaca.gov. The
deadline to apply is Friday, September 18, 2020 at 5:00pm. Teacher
recommendations are required at time of deadline.
If you have questions or need more information, please contact the Thomas Lasorda Jr.
Field House at (714) 961-7192.
TEEN ACTION COMMITTEE APPLICATION 2020-2021
NAME: AGE: BIRTH DATE:
ADDRESS: EMAIL: _____________________
CITY: ___ZIP CODE: _____________________
CELL PHONE: PARENT CELL:
SCHOOL (CURRENT): GRADE (CURRENT): T-SHIRT SIZE:
Please attach additional page(s) if necessary.
1) Please list any previous leadership, volunteer, and/or community service experience:
2) P
lease list any previous extracurricular activities you have participated in:
3) P
lease describe in detail what contributions you will bring to the T.A.C. and how:
4) Pl
ease share how you want you want to give back to your community:
Certificate of Applicant:
I certify that all statements in this application are true and complete to the best of my knowledge. I
have reviewed the information provided and understand the requirements and time commitment of
the Teen Action Committee program. I understand that any false statements will subject me to
disqualification.
Signature of Applicant:_________________ ____Date:__
Signature of Legal Guardian: ___________ ____Date:___ __________
YS
TEEN ACTION COMMITTEE PROGRAM
TEACHER RECOMMENDATION
As a key component in the success of our Teen Action Committee program, the City of Yorba Linda’s T.A.C. Members are
expected to be mature, responsible, and reliable individuals capable of working well with others. In order to ensure these
qualities, we require each applicant to submit a teacher recommendation, which will be considered when his/her
application is reviewed. This evaluation is a confidential document, which will help us determine the individual’s
strengths and weaknesses. Please be sure to record some of your own personal comments, as this could be a determining
factor in whether or not an individual is accepted into our Teen Action Committee program. Your time and thoughts are
greatly appreciated. Please contact (714) 961-7192 with any questions.
Student’s Name:
Teacher’s Name: Subject Taught:
School Name: School Phone Number:
School Address:
Please rate on a scale of 1 – 5: 1 = Needs Improvement 3=Average 5 = Excellent
Ability to complete tasks in a timely fashion 1 2 3 4 5
Attitude towards peers and teachers 1 2 3 4 5
Positively contributes to class via discussions/questions 1 2 3 4 5
Maturity and recognition of personal responsibilities 1 2 3 4 5
Demonstrates initiative in starting tasks/projects 1 2 3 4 5
Responds well to direction 1 2 3 4 5
Responds well to discipline 1 2 3 4 5
Is punctual and has a good attendance record 1 2 3 4 5
Maintains a positive attitude 1 2 3 4 5
Overall recommendation: (check one) RECOMMEND DO NOT RECOMMEND
Please write a few comments about this student (attach additional page if needed):
_______________
Recommendations must be received by Friday, September 18, 2020 at 5:00p.m.
City of Yorba Linda Parks and Recreation
Attn: T.A.C. Program
4701 Casa Loma Ave.
Yorba Linda, CA 92886
Recommendations can also be emailed to Teenvolunteer@yorbalindaca.gov
This program is not affiliated with the school or school district. The school district does not endorse or sponsor this activity.
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Completed 25 March 2021

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