Amherst Youth Town Council Expression of Interest

Please complete all information below to be considered as a candidate for Amherst Youth Town.Council (AYTC). Resume is optional.

Name(*)

Please type your full name.

School(*)

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Grade(*)

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Date of Birth(*)

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Full Mailing Address(*)

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Home Phone Number

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Email Address(*)

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Cellular Phone Number

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What extra-curricular activities are you currently involved with?(*)

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Please highlight why you would like to be part of AYTC, and why you feel you would be a good fit as a voice for youth as a member of AYTC?(*)

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Applicant Signature(*)

Sign Above

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Parent/Guardian(*)

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Parent/Guardian Email:(*)

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Today's Date:(*)

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Please provide three references: Name - Phone Number – Email

Attach one or more, up to 5, files. (docx, doc or pdf - Max 3MB)

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I have read the Amherst Youth Town Council Policy:(*)

confirm Please click the check box.

Are you a robot?(*)

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