*1.Contact Information(Required.)

Name

Grade Level as of 09/01/2026

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Home Phone 

Cell Phone

*2.Parent/Guardian Contact Information (Required.)

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Cell Phone Number

*3.School Contact Information(Required.)

High School Name

Principal's Name

Principal's Email Address

Teacher Liaison's Name

Teacher Liaison's Email Address

*4.Meetings are typically held on the second or third Thursday of each month at 4:00 p.m., along with Saturday community engagement events throughout the year. Please list any extracurricular activities (service clubs, athletics, band, employment, family commitments, etc.) that may conflict with these meetings or events and impact your participation on the Gwinnett Clean & Beautiful Green Youth Advisory Council.(Required.)

*5.If you have volunteered at a GC&B event, please list below and explain your participation and overall volunteer experience.(Required.)

*6.Briefly describe your school including whether it is public, private, charter or home.(Required.)

*7.How did you hear about the Green Youth Advisory Council?(Required.)

Teacher 

School Staff 

Friend 

GC&B Website 

Other (please specify)

*8.Choose one issue that you are passionate about as it relates to GC&B's mission of “Connecting People and Resources for a Sustainable Gwinnett”, and focus areas. What is your commitment to this issue?(Required.)

*9.Are you a member of your school’s environmental club?(Required.)

No 

School does not have a club 

Yes (please list your teacher sponsor's name and email address below.)

10.If you answered yes to the previous question, what is the name of the club / group and describe your role.

*11.What experience do you hope to gain by being a member of the Green Youth Advisory Council?(Required.)

*12.How do you plan to make an impact, either on your own, with other service groups at your school or in your community?(Required.)

*13.What is the most important quality you will bring to the Green Youth Advisory Council?(Required.)

*14.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, group chat and text messages about Green Youth Advisory Council happenings within 48 hours of receipt

4. Provide a letter of recommendation from your school's teacher and/or principal.

***Incomplete applications will not be considered***(Required.)

Student Signature and Date 

Parent Signature and Date