Bellevue Youth Council Application

Name

Home/Cell Phone

Email Address

Parent Email Address

Parent Phone

What school do you attend?

Grade

Name of parent(s)/guardian(s)

Briefly describe your community interests?

Please tell us about yourself and your personal background as it pertains to your school and/or community interests?

What are your personal goals that you would like to accomplish in the Youth Link program?

Responsibilities of Bellevue youth Council Members:

*Members must attend two (2) meetings per month including Action Team meetings as scheduled. (NEW: Virtual online meeting may be a substitute)
*Members must serve in at least one (1) Youth Link Action Team or Planning Committee
*Members must participate in a minimum of one volunteer community service activity per month

The Bellevue Youth Council meets the first and third Wednesday of each month from 5:00pm to 7:00pm. Members are allowed only three unexcused absences during the school year. In addition, each member must work on a community service activity each month which involved 2-10 hours per month (Depending on which project you choose).

Optional

It is our goal that the Bellevue Youth Council will reflect the diversity of Bellevue's young people. Completing the following information will help us ensure diverse representation.

Please fill in response and select the group(s) with which you identify:

Date of Birth

Student Signature

Sign above

Parent/Guardian Signature

Sign above

Date

Bellevue Youth Council Application

Responsibilities of Bellevue youth Council Members:

Optional

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