Application 2009/2010 Multnomah Youth Commission

NOTE: "In the event of this form failing to submit: Please copy this confirmation page and paste into an email to multnomahyouth@gmail.com.

Name		Date:	3/10/2010
Address
City		Zip Code
Email		Home Phone
		Cell Phone
If you are in school, which school will you attend next year (Fall 09)?
Age		Birthdate
Grade Next Fall (Sept. 2009) 7 8 9 10 11 12 College Home-School Out of School
If you are not in school next year, list your plans for Fall ’09:
How did you hear about the Youth Commission? Check all that apply:
Parents Teachers Counselor Friend Website Email Saw a Flier On the Radio Newspaper (which ones)
Question #1: Please share with us some of the issues that are important to you or young people you know. Share any community service or advocacy you have done around these issues.
Question #2: Why do you want to be a member of the Youth Commission? Please describe any communities you represent or could help engage in the work of the MYC.
Question #3: Commissioners are required to commit at least 15 hours per month (7 hours for at-large members), including attending meetings in Portland & East County (Gresham) on the 2nd & 4th Sunday of every month from 4:30-7:30pm. Members are only allowed to miss 3 MYC meetings in a 6-month period. Describe other school or community activities you are involved in and how you would deal with any conflicts with your MYC commitment?
Question #4:  Is there anything else you would like to share about yourself?
Question #5: As part of the Youth Commission sometimes you have to be creative and innovative. Your last task - DO ANYTHING YOU WANT WITH THIS BOX… EXCEPT IGNORE IT!
Applicant's Signature           Date: 3/10/2010
INTERVIEW APPOINTMENTS IMPORTANT! PLEASE COMPLETE AND SUBMIT WITH YOUR APPLICATION Youth Commissioner Interviews Check ONE (and mark your calendar!) Yes! I will attend this interview. SUNDAY MAY 17th, 2009 1:00pm-3:00pm, Gresham Schools Building, 1331 NW Eastman Parkway, Gresham Yes! I will attend this interview. SUNDAY MAY 17th, 2009 4:30pm-6:30pm, Portland City Hall, 2nd Floor Lovejoy Room, 1221 SW Fourth Ave, Portland If you are unable to attend either of these times, or you miss your interview a make-up interview is scheduled for Thursday, May 21st, 2009 4:00-6:00pm 421 SW Oak St, Portland I Can’t Make Sunday, I will interview on Thursday You will know by May 29th if you are selected to serve as a Youth Commissioner or Youth Media Producer for the 2009-10 term. For all applicants selected to serve, a celebration is planned for June 14th, 2009 at Portland City Hall. Mark your calendar, in case you are selected.