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* 1. Applicant's First & Last Name

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* 2. What is your birthdate?

Date

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* 3. Home Address:

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* 4. City:

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* 5. Zip Code:

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* 6. Applicant's Cell Phone:

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* 7. Applicant's email:

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* 8. Parent's cell phone:

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* 9. Parent's email:

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* 10. School: (List homeschooled if this is the case)

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* 11. Grade:

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* 12. Parent Name(s):

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* 13. Why do you want to be a member of the Mayor's Youth Commission?

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* 14. What issues are important to you?

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* 15. What extracurricular activities do you participate in?

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* 16. We meet the first Thursday of every month.
You must attend 8 out of 10 meetings or submit a school-related excused absence.
If you are unable to do this, your membership may result in termination. Are you able to commit to this?

By submitting this application, you understand that you are applying to be a member of the Mayor’s Youth Commission.  Upon review, you will be contacted via e-mail regarding approval.  There will be an additional photo release document required for all approved members.
If you have any questions, please visit our website: https://www.arlingtontx.gov/city_hall/government/mayor/mayor_s_youth_commission

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