Nederland  Youth Board Application
Please read the Youth Board description here and fill out these questions to apply. Write to Max with any questions or concerns at
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Name *
Applicant Phone (Mobile)
Applicant Phone (Home or Parent/Guardian) *
Applicant email *
Emergency Contact Information (Ex parent/guardian. Please list name, relationship, and phone number) *
Age *
Birthday *
Gender and Pronouns (e.g. She/Her, He/Him, They/Them, etc)
Do you need any accommodations in order to participate fully? (including dietary restrictions, allergies, aid for any type of disability)
Please list other time commitments for the 2022-23 school year. (times you will NOT be available for meetings and activities).  Example: Monday through Thursday, I have school from 7:30 AM to 4:00 PM. Mondays 4-6 PM, I have volleyball practice. Sundays 9 AM to noon, I have church. *
Could you reasonably commit to about 5 hours every month, knowing that at least once monthly the Board Meeting will take place during the school day and other occasional meetings outside of school hours would be necessary? Board meeting time will be excused from school and any out of school time will be rewarded through gift cards and other forms of recognition. *
How did you hear about this opportunity?
Why are you passionate about creating more opportunities for young people in the Nederland area? What kinds of opportunities do you think the youth of Nederland would like to have? *
What skills and qualities do you think would make you a good candidate for this position? *
Which of the following topics would you be interested in supporting? Below is a list of boards and commissions and questions related to those topics. *
Optional References: (Name, contact info, and relationship)  Up to three. These can be anyone you know and feel would support your application. This can be a friend, mentor, family member, employer, etc)
Do you have any questions you would like us to answer at or before an interview?
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