Youth Civics CouncilYouth Civics Council Application If you are interested in applying for a membership of the Youth Civics Council, please complete the following application. Applicants must be in the 7th-11th grade. All of the following information must be completed for consideration of the Youth Civics Council.Name* First Last Age*Please enter a value between 12 and 19.School*Grade*Please enter a value between 7 and 12.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone*Cell Phone*Email* Parent/Guardian Name* First Last Gender* Male FemaleCheck all that apply* I have transportation to get to Youth Civics Council meetings I myself am choosing to apply for this positionWhy do you want to serve as a member of the Youth Civics Council*Please list any other activities you will be involved with during the school year. Include community sports, community activities, school clubs, religious groups, employment etc.*What skills do you possess that would make you a strong leader and representative?*What do you want to see change in the City of Salisbury?*Please list two adult references below with their phone numbers* First Last Phone** First Last Phone*Parent/Guardian Permission* ConfirmI give my permission for my child to seek the position of representative on the Youth Civics Council