Nominate for the Kalgoorlie-Boulder Youth Council! Question Title * 1. Personal Details Name Date of Birth Gender Address Suburb Post Code Home Phone Mobile Email Address Emergency Contact Name Number OK Question Title * 2. Tell us a bit about yourself! What are some of your interests and hobbies? What do you like to do in your spare time? OK Question Title * 3. Are you involved with any other community or school based organisations in Kalgoorlie-Boulder? (For example the Student Representative Council, sporting clubs, dance academies, other youth groups) YES NO If yes, what are they? OK Question Title * 4. Why are you interested in joining the Kalgoorlie-Boulder Youth Council? What special skills and qualities could you bring to the group? OK Question Title * 5. What are two issues that you feel are currently impacting young people in Kalgoorlie-Boulder? What could the Youth Council do to address these issues? OK DONE