New York State YMCA Youth and Government Cabinet Application

Applications Due June 1

Cabinet members will be expected to reach out to their counterpart in our state government and meet with them at least once during the school year to discuss youth issues. Cabinet members will be expected to learn the duties of their position, advise the governor, and serve in the legislative program as well. Your district coordinator will be consulted about your application, and their approval will be required for you to serve.

While we strive to honor your first request, we do focus in developing a cohesive team that results in some applicants being offered a position they did not request. There are usually far more applicants than positions, so it is not possible to afford each applicant a position, but know each application will be carefully reviewed. If you have any questions please contact dcaldwell@ymcanys.org.

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* 1. First Name

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* 2. Last Name

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* 3. Your School or YMCA

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* 4. Your Current Grade

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* 5. How many years previously have you participated in the Youth and Government Program, not including this year?

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* 6. Your Cell Phone Number, or main contact phone number. Please include only the numbers, no hyphens or parentheses. For example please enter 5551234567 not (555) 123-4567

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* 7. Your Email. Please make sure it is spelled correctly, as this will be the way you receive communication about the program. Please do not use a school based email address, as most have strong filters and often filter out our emails.

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* 8. Please describe your YAG experience or leadership qualifications, including listing any positions or roles you have held at the state or local level.

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* 9. How would you act as a Servant Leader as a member of the Cabinet?

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* 10. Why are you interested in applying for the Cabinet of this Administration?

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* 11. There are many important issues in the United States of America today, what is one you find to be important, and why?

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* 12. Please Indicate Your level of Interest in Each Cabinet Position.

	1 - Least Interest	2	3	4	5 - Most Interest	I do not wish to serve in this role.
Comptroller	Comptroller 1 - Least Interest	Comptroller 2	Comptroller 3	Comptroller 4	Comptroller 5 - Most Interest	Comptroller I do not wish to serve in this role.
Chairperson New York State Public Service Commission	Chairperson New York State Public Service Commission 1 - Least Interest	Chairperson New York State Public Service Commission 2	Chairperson New York State Public Service Commission 3	Chairperson New York State Public Service Commission 4	Chairperson New York State Public Service Commission 5 - Most Interest	Chairperson New York State Public Service Commission I do not wish to serve in this role.
Chairperson of Empire State Development Development	Chairperson of Empire State Development Development 1 - Least Interest	Chairperson of Empire State Development Development 2	Chairperson of Empire State Development Development 3	Chairperson of Empire State Development Development 4	Chairperson of Empire State Development Development 5 - Most Interest	Chairperson of Empire State Development Development I do not wish to serve in this role.
Commissioner of Agriculture and Markets	Commissioner of Agriculture and Markets 1 - Least Interest	Commissioner of Agriculture and Markets 2	Commissioner of Agriculture and Markets 3	Commissioner of Agriculture and Markets 4	Commissioner of Agriculture and Markets 5 - Most Interest	Commissioner of Agriculture and Markets I do not wish to serve in this role.
Commissioner of Correctional Services	Commissioner of Correctional Services 1 - Least Interest	Commissioner of Correctional Services 2	Commissioner of Correctional Services 3	Commissioner of Correctional Services 4	Commissioner of Correctional Services 5 - Most Interest	Commissioner of Correctional Services I do not wish to serve in this role.
Commissioner of Education	Commissioner of Education 1 - Least Interest	Commissioner of Education 2	Commissioner of Education 3	Commissioner of Education 4	Commissioner of Education 5 - Most Interest	Commissioner of Education I do not wish to serve in this role.
Commissioner of Environmental Conservation	Commissioner of Environmental Conservation 1 - Least Interest	Commissioner of Environmental Conservation 2	Commissioner of Environmental Conservation 3	Commissioner of Environmental Conservation 4	Commissioner of Environmental Conservation 5 - Most Interest	Commissioner of Environmental Conservation I do not wish to serve in this role.
Commissioner of Health	Commissioner of Health 1 - Least Interest	Commissioner of Health 2	Commissioner of Health 3	Commissioner of Health 4	Commissioner of Health 5 - Most Interest	Commissioner of Health I do not wish to serve in this role.
Commissioner of Labor	Commissioner of Labor 1 - Least Interest	Commissioner of Labor 2	Commissioner of Labor 3	Commissioner of Labor 4	Commissioner of Labor 5 - Most Interest	Commissioner of Labor I do not wish to serve in this role.
Commissioner of Taxation and Finance	Commissioner of Taxation and Finance 1 - Least Interest	Commissioner of Taxation and Finance 2	Commissioner of Taxation and Finance 3	Commissioner of Taxation and Finance 4	Commissioner of Taxation and Finance 5 - Most Interest	Commissioner of Taxation and Finance I do not wish to serve in this role.
Commissioner of Transportation	Commissioner of Transportation 1 - Least Interest	Commissioner of Transportation 2	Commissioner of Transportation 3	Commissioner of Transportation 4	Commissioner of Transportation 5 - Most Interest	Commissioner of Transportation I do not wish to serve in this role.
Comptroller	Comptroller 1 - Least Interest	Comptroller 2	Comptroller 3	Comptroller 4	Comptroller 5 - Most Interest	Comptroller I do not wish to serve in this role.
Secretary of State	Secretary of State 1 - Least Interest	Secretary of State 2	Secretary of State 3	Secretary of State 4	Secretary of State 5 - Most Interest	Secretary of State I do not wish to serve in this role.
Secretary to the Governor	Secretary to the Governor 1 - Least Interest	Secretary to the Governor 2	Secretary to the Governor 3	Secretary to the Governor 4	Secretary to the Governor 5 - Most Interest	Secretary to the Governor I do not wish to serve in this role.
Superintendent of Financial Services	Superintendent of Financial Services 1 - Least Interest	Superintendent of Financial Services 2	Superintendent of Financial Services 3	Superintendent of Financial Services 4	Superintendent of Financial Services 5 - Most Interest	Superintendent of Financial Services I do not wish to serve in this role.

Please let us know of any specific requests, issues, or other considerations you feel relevant.

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* 13. I hereby understand the terms and conditions of the YMCA Youth and Government program, and state that I, ____________________________________, if chosen for the Executive Cabinet will do my best to execute my position while modeling the four core values of the YMCA. (Type Your Name Below To Agree)