Mayor's Youth Council Application
Students in grades 8th thru 11th can apply. Students must be residents of the City of Knoxville.
Applications will be accepted until April 30, 2024. Term will begin in August. |
| PERSONAL INFORMATION |
Full Name
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Preferred Name
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Email Address
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Age
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Date of Birth
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Gender
Male Female Other/Non-binary Prefer Not to Say |
Race
Prefer Not to Say |
Street Address
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City, State, Zip Code
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Home Phone #
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Cell or Alternate Phone # (if available)
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Preferred Method of Contact
Phone Call Text Email |
What times are you (student) available to be contacted?
Morning Noon Evenings |
| SCHOOL INFORMATION |
Name of School
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Grade
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| GUARDIAN & EMERGENCY INFORMATION |
Guardian Name
Guardian Relationship to Applicant
Guardian Contact Number
Guardian Email Address
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Student Emergency Contact Name
Student Emergency Contact Number
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| ACTIVITIES |
What community and social justice issues are you passionate about?
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Why do you think Youth Civic Engagement is important?
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Are you involved in extracurricular activities or volunteering? Yes No
If yes, please describe: |
How did you hear about the the Mayor's Youth Council?
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| REFERENCES |
You must also submit 2 letters of recommendation with your application. These recommendation letters should come from someone (other than your parents) who can attest to your work ethic, your academic accomplishments, your involvement in the community, and volunteering. You must submit the letters of recommendation by the application deadline.
You can send recommendation letters to Emily Norris at [email protected]. |
| PERMISSION |
| I give my child permission to participate in the Empower Knox Mayor's Youth Council and for the City of Knoxville to take photos that may be used in the media. |
Guardian Consent
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Applicant Signature
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