Entry Requirements and Criteria

The City of Madison Heights is pleased to host the 3rd Annual Mock City Council program for Madison Heights high school students.  This program is designed to have students experience interaction with key local government leaders, learn what goes into running a city, start building a resume, and become future leaders in the community.  
 
Entry Requirements and Criteria:
  • Must be enrolled as a full time student at any Madison Heights high school.
  • Complete and submit this online Mock City Council Official Entry Form by Friday, March 23, 2018
  • Participate in the following parts of the program:
    • Attend the City Council meeting and afterglow meet and greet - April 9, 2018
    • Attend Day and Evening - April 23, 2018
    • Attend a citizen board/commission meeting (deadline of April 9th)
  • Essays will be judged and participants will be notified of their acceptance no later than March 29, 2018
Tentative Schedule:

April 9     

7:30 p.m. - 9:30 p.m.  - Attend City Council meeting and meet with City Council and staff at an afterglow reception

April 23

8:25 a.m. - 3:30 p.m.  - Welcome by City Manager, practice Mock City  Council Meeting, tour municipal and DPS complex,  shadow department heads - lunch provided

5:30 p.m. - 6:15 p.m. - Student dinner with City Council and staff

6:30 p.m. - 7:30 p.m. - Mock City Council

7:30 p.m. - ?? - Regular City Council Meeting (optional)

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* 1. First Name:

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* 2. Last Name:

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* 3. Name of School

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* 4. Home Address:

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* 5. Parent/Guardian Name:

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* 6. Parent/Guardian Phone Number:

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* 7. Email  Address contact

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* 8. Text Phone Number Contact

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* 9. Name of Recommending Teacher or Counselor:

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* 10. Teacher/Counselor Contact Phone Number:

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* 11. Grade level:

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* 12. Age (as of March 26th):

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* 13. In 250 words or less, please tell us how local government impacts your life:

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* 14. Terms and Agreement:  Entry applicant and his/her parent/guardian shall indemnify and hold harmless the City of Madison Heights from any and all claims, liabilities, costs and charges (including attorney fees) for injury, loss or damages to property or persons (including death) arising out of any and all student activities and transportation in connection with this program, or any breach of representation, warranty or covenant in this contract or in the Terms and Conditions contained in this agreement.  The student applicant agrees that the City of Madison Heights may, if it elects, televise, produce or display participation in the Mock City Council Program and/or the narrative submitted as well as produce collateral materials using the narrative submitted, pictures or film, in whole or parts, of the program.  By agreeing to the terms and agreement, we certify that we have read and fully understand the attached entry requirements and criteria and the terms and agreements stated above.

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* 15. Rank by level of interest, what local government roles/jobs interest you the most.  Information provided will help to determine the day's activities. 1 = most interested 13 = least interested

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