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Gwinnett Clean & Beautiful's Green Youth Advisory Council Application 2022/2023
1.
Contact Information
Name
Grade Level as of 09/01/2021
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Email Address
Home Phone
Cell Phone
2.
Parent/Guardian Contact Information
Name
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Email Address
Cell Phone Number
3.
School Contact Information
Principal's Name
Principal's Email Address
Teacher Liaison's Name
Teacher Liaison's Email Address
4.
Please list other extra-curricular activities (service clubs, athletics, band, etc.) that may interfere with monthly meetings and weekend activities, events, etc. and your commitment to the Gwinnett Clean & Beautiful Green Youth Advisory Council.
5.
Briefly describe your school including whether it is public, private, charter or home.
6.
How did you hear about the Green Youth Advisory Council?
Teacher
School Staff
Friend
GC&B Website
Other (please specify)
7.
Choose one issue that you are passionate about which is related to the GC&B mission of “Connecting People and Resources for a Sustainable Gwinnett”, and focus areas. What is your commitment to this issue?
8.
Are you a member of your school’s environmental club?
No
School does not have a club
Yes (please list your teacher sponsor's name below.)
9.
If you answered yes to the previous question, what is the name of the club / group and describe your role.
10.
What experience do you hope to gain by being a member of the Green Youth Advisory Council?
11.
How do you plan to make an impact, either on your own or with other service groups at your school or in your community?
12.
What is the most important quality you will bring to the Green Youth Advisory Council?
13.
If accepted to Gwinnett Clean & Beautiful's Green Youth Advisory Council, I understand the requirements as outlined below and commit to the following:
1. Be actively engaged and attend all meetings and events
2. Commit to a project and actively help my team work to achieve results
3. Read and respond to all correspondence including but not limited to emails and text messages about Green Youth Advisory Council happenings within 48 hours of receipt
Student Signature and Date
Parent Signature and Date
Current Progress,
0 of 13 answered
