2021-22 SYBAC Membership Application
Thank you for your interest with the Iowa Communications Network and SYBAC.

Applications are being accepted until May 14.

The Application Process:
1.) Provide contact information
2.) Submit Essay (400-500 words)
3.) Request a teacher to submit a student recommendation.
- Visit https://icn.iowa.gov/sybac for teacher recommendation link.

SYBAC meetings take place monthly at 2 PM, beginning in September 2021 through April 2022 via video conference. ICN will also invite all SYBAC students to the Capitol Complex in Des Moines during the 2022 Legislative Session.
Email *
Questions...
Contact Lori Larsen at lori.larsen@iowa.gov or 515-725-4713.
Student First and Last Name *
Student Address *
Student City/Town *
Name of School District & High School *
City/Town of School District & High School *
2021-2022 Grade Level: (The grade you will be in next school year). *
School and/or Community Activity 1: Describe an extracurricular activity you have participated with (grade level, positions held, who sponsored the activity). *
School and/or Community Activity 2: Describe an extracurricular activity you have participated with (grade level, positions held, who sponsored the activity). *
School and/or Community Activity 3: Describe an extracurricular activity you have participated with (grade level, positions held, who sponsored the activity).
School Sponsor Contact Information: Provide Name and Title. *
School Sponsor Contact Information: Email *
Essay: Address the following areas: a.) Describe your interest in serving on the Statewide Youth Broadband Advisory Council. b.) Explain why broadband or high-speed Internet is important to you, your family, and your community. c.) What technology perspectives will you bring to this council. *
Student Acknowledgment: In submitting this application, I certify that the information I have provided is true, and, if selected, I pledge that I will support the Statewide Youth Broadband Advisory Council by my presence and participation to the best of my abilities. *
Required
Questions...
Contact Lori Larsen at lori.larsen@iowa.gov or 515-725-4713.
Thank you for your interest with the Iowa Communications Network and SYBAC.
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