Youth Commission Application
Applicant Information
Email address *
First Name *
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Last Name *
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Applicant's Email Address *
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Applicant's Phone Number
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Applicant's Street Address
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Applicant's City
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Applicant's Zip Code
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Applicant's Birth Date
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Applicant's High School
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Current GPA
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Highest Grade Completed *
Applicant's Shirt Size *
Applicant's Race *
Applicant's Health Information (Medication, Special Conditions, Allergies, Dietary Restrictions, etc.)
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Qualification Checklist
Parent/Guardian's Name
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Parent/Guardian Daytime Phone Number
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Parent/Guardian Email Address
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Nomination Section
Nominator's Name
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Nominator's Title
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Nominator's City, State & Zip Code
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Nominator's Phone Number
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Nominator's Email Address
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Nominator Statement
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Will you be able to attend the annual retreat in September 2019?
List a few of the extracurricular activities you have participated in during the past three years. Add any offices held and/or awards received (Organization, Position Held, Date of Involvement).
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Essay Section: In your opinion, what are the three important issues facing DeKalb County youth today, and how would you address these issues?
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Essay Topic: From the three topics listed above, choose and write, choose and write about an issue that you think is the most important one facing DeKalb County youth today.
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Your checklist of attachments:
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