Youth Council Advisory Committee

The personal information on this form is being collected under Section 4 of the Protection of Privacy Act (POPA). It will be used to determine the eligibility of an application to serve as a member of a Board or Committee of Northern Sunrise County and will be shared with Council and Administration.

Youth Council Advisory Committee *

Name *

Address *

Phone Number *

Email *

Why are you interested in joining the Youth Council Advisory Committee *

What would you like to contribute to the Youth Council Advisory Committee if you are selected *

What do you think are the biggest challenges in the Peace Region today *

How do you think your perspective as a young person can benefit the Youth Council Advisory Committee *

Have you ever worked in a team or group setting before. * Yes
No

If so, can you describe a time where you worked effectively in a team or group setting. If no, please write N/A. *

Should you be chosen as a member of the Youth Council Advisory Committee, your name may be released to the general public. If you are under the age of 18, your parent/guardian will need to authorize the release of information that would be made public. * My Name
My email address
None of the above

Applicant Signature (A typed name on an electronically submitted form constitutes a signature for the purposes of this application.) *

Parent/Guardian Signature (A typed name on an electronically submitted form constitutes a signature for the purposes of this application.) *

By clicking submit, I confirm that I meet the eligibility requirements and that the information provided is accurate.

* - denotes required field