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Online Surveys & Forms

Youth Advisory Committee (YAC)

Please correct the field(s) marked in red below:

1
Thank you for your interest in the Youth Advisory Committee! Please complete the form below and submit before September 12017. We will be in touch for interviews, socials and more. If you have any questions, please call Jeffrey Giacoletto at (650) 637-2927 or email at jgiacoletto@belmont.gov
2
First and Last Name
 *
3

What is your current grade/school?

 *
4
Email Address
 *
5
Why do you want to be a member of the Youth Advisory Committee?
6
What talents and skills would you bring to the YAC? Examples include; prior work/volunteer experience, organized sports teams, club organizations, etc.
7
Where did you hear about the Youth Advisory Committee?   
8
What community/school activities are you currently or plan to be involved in during the 2016-17 school year? Please include dates/time commitments of each activity when possible. (Include sports, bands, clubs, religious commitments, etc.) 
9
What do you think is one of the major issues facing teens in Belmont?  
10
If you were selected to be a 2016-17 YAC member, what would you like the Committee to accomplish?  
  1. To receive a copy of your submission, please fill out your email address below and submit.