New Member Application

Mayor's Youth Council New Member Application

Personal Information

Name *

Email Address *

Phone *

Street Address *

City

State/Province

ZIP / Postal Code

Birthday *

Month *

Day *

Year *

What grade will you be entering in Fall 2024 *10th, 11th, 12th10th11th12th

Select *What school will you be attending in Fall of 2024Madison Central High SchoolMadison-Ridgeland AcademySt. Joesph Catholic SchoolHome School

What is your estimated GPA for the 2023-2024 School Year? *

Community/School Activities

Describe any activities you have been involved with in or outside of school *

Short Essay

Why are you wanting to join the Mayor's Youth Council? What do you hope to get out of being a member? Are there any certain aspects of government, skills, experiences, or learning opportunities you would like to walk away with? *

Submit