Central Youth Leadership Council Application
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Email *
Name: *
Age: *
Date of Birth: *
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Check the best way(s) to contact you: *
Phone Number with area code: *
School & Grade: *
Parent's Name: *
Parent's Phone Number: *
Parent's Email Address: *
 I  give my  permission  to use  audio, print, video and photograph for publicity or educational purposes by   MyCom & MWOC I understand that all materials will remain the property of MyCom & MWOC its Steering Committee, Intermediary, and network of agencies, and I am not entitled to any compensation or payment for their use *
What does being a leader mean to you? *
What do you hope to accomplish by being a part of the Youth Leadership Council? *
What kind of volunteering have you done in the community or in school?
(not a requirement for participation)
Will you be able to get to the meetings at Friendly Inn for Youth Council meetings? *
What size shirt do you wear? *
Dietary restrictions *
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