Youth City Council Application

YCC Application

Cottonwood Heights

Youth City Council (YCC)

Application

APPLICATIONS DUE 5 P.M. FRIDAY APRIL 7, 2017 

Please fill out form below:

Name 

Date of Birth 

Class/Grade/Year in school during the 2017-18 school year: 

School:

If "Other," please specify school: 

Contact Information: 

Street Address: 

City: 

Zip Code: 

Telephone Numbers:

Home Phone  Mobile Phone:  Email address: 

OK to send text? Yes No

Do you have a personal Facebook Profile?  

Yes No

(The Cottonwood Heights Youth City Council has a private Facebook group and Twitter account available to members of the YCC - you must be approved to join/view)

Do you have Twitter profile? 

Yes No  If yes, please provide your Twitter username:  

Best way to contact you: Phone Call Text Email

Tell us about your hobbies or interests:

Why are you interested in becoming a YCC member?

*

New Applicants, please send a letter of recommendation from a teacher/employer/coach (non-relative) to Councilman Scott Bracken (sbracken@ch.utah.gov) after filling out this application. Current YCC members are required to submit a new application each year, but do not need a recommendation letter. 

 



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