CITY OF SANTA FE SPRINGS YOUTH LEADERSHIP COMMITTEE APPLICATION

FESPRINGS
CITY OF SANTA FE SPRINGS YOUTH LEADERSHIP COMMITTEE APPLICATION
Name

First NameLast Name
ADDRESS
AGE
SCHOOL
PRESENT GRADE
ANTICIPATED GRADUATION DATE

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
EMAIL
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
EMERGENCY CONTACT
EMERGENCY CONTACT NUMBER
Please enter a valid phone number.Format: (000) 000-0000.
EMPLOYERS NAME
POSITION
EMPLOYERS ADDRESS
PHONE
Format: (000) 000-0000.
HOURS AVAILABLEFOR VOLUNTEER WORK (Please list availability all days of the week and time. ex. Available Monday- 9am-5pm):
ARE YOU CURRENTLY A MEMBER OF ANY ORGANIZATIONS/CLUBS?
EXTRA CURRICULAR ACTIVITIES/SPORTS?
ARE YOU OR HAVE YOU IN THE PAST PARTICIPATED AS A CITY VOLUNTEER: IF "YES" LIST BELOW:
IF 'YES" LIST BELOW:
WHY DO YOU WANT TO BE INVOLVED?
TALENTS/ SKILLS OF LEADERSHIP:
WHAT IDEAS DO YOU HAVE FOR THE COMMITTEE?
REFERENCES/RECOMMENDATIONS: (MUST HAVE KNOWN CANDIDATE FOR A MINIMUM OF ONE (1) YEAR. NO FAMILY MEMBERS)
INCLUDE A LETTER OF RECOMMENDATION FROM AN ADULT WHO IS NOT A FAMILY MEMBER AND HAS KNOWN YOU FOR AT LEAST ONE YEAR. THIS PERSON SHOULD BE ABLE TO ADDRESS YOUR LEADERSHIP POTENTIAL AND ABILITY TO MANAGE THE DEMANDS OF BOTH SCHOOL AND THE COMMITTEE.

Cancelof
I HAVE READ AND UNDERSTAND THE TIME COMMITMENT REQUIRED FOR THE YOUTH LEADERSHIP COMMITTEE. I AM ABLE TO MAKE SUCH A COMMITMENT. STUDENT SIGNATURE
DATE

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
PARENT/LEGAL GUARDIAN PERMISSION
I GIVE MY PERMISSION FOR First Name Last Name TO SEEK APPOINTMENT FOR THE POSITION OF REPRESENTATIVE OF THE YOUTH LEADERSHIP COMMITTEE.
PARENTLEGAL GUARDIAN NAME PRINT
PARENT/LEGAL GUARDIAN SIGNATURE
DATE

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

FESPRINGS

CITY OF SANTA FE SPRINGS YOUTH LEADERSHIP COMMITTEE APPLICATION

PARENT/LEGAL GUARDIAN PERMISSION