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Town of Shelburne Youth Advisory Committee

Please complete this form in order to be considered as a Youth Advisory Committee (YAC) Member.

What is your first name

What is your last name?

What is your phone number?

What is your address?

What is your email address?

Which school do you attend?

What grade are you in?

Mandatory Regular Meetings take place every month and commence at 7:00 pm or otherwise specified time determined by the Chair. Will you be able to consistently make these meetings?

Yes

List your interests/hobbies and any applicable skills that might apply to your participation as a member of the YAC

Please upload your resume

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Please attach a short essay, no more than 500 words, stating why you should be selected as a Youth Advisory Committee Member. Please include any ideas that you would like to implement if selected.

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Please attach one letter of recommendation from a non-family member. Ensure that full contact information is provided.

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By signing this document you are confirming that the information you have given is correct and up to date.

For further information please contact: Jennifer Willoughby Deputy Clerk Town of Shelburne 203 Main Street East Shelburne ON L9V 3K7 (519) 925-2600 Ext. 223

Please sign this applicaiton

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