Youth Advisory Council Application

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This is the application for the 2016-2017 YAC year. To complete your YAC application, you must have a leader of a student organization (NHS President, Thespian Society President, FBLA President, etc.), teacher, or non-family member adult fill out the character reference survey here: https://www.surveymonkey.com/r/HXY3GZN

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* 1. Name (First and Last)

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* 2. Email Address (double check for typos)

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* 3. Cell Phone (or number you can be directly reached at) Format XXX-XXX-XXXX

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* 4. What High School do you attend?

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* 5. Grade (2016-17)

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* 6. T-Shirt Size? (Youth Advisory Council members receive multiple shirts throughout the year.)

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* 7. Why do you want to participate in the Youth Advisory Council?

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* 8. What do think are the three most pressing issues facing teens in Loudoun County today?

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* 9. List any special skills and unique qualities that you possess, and describe how these skills/qualities can benefit the Council. (please separate by commas)

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* 10. The Youth Advisory Council requires monthly meetings (Mondays 6:30-8:00P @ the PRCS Admin Building: 20145 Ashbrook Pl #170, Ashburn, VA 20147) and participation in Youth Advisory Council activities.

What other activities will you be involved in for the 2016-17 school year?

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* 11. What other activities have you been involved in at school or in the community in recent years? What has been your favorite or most rewarding and why?

Questions? Feel free to reach out to Youth Initiative Specialist, Alex Beard!

YAC@loudoun.gov or (703)737-8335

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