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2. 
3. Join the
   North Miami Youth Council Board
   Teens, ages 15-18
5. Full Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Cell Number*
14. Email Address*
16. Name of School*
18. Grade Level*
20. Age*
22. GPA Weighed*
23. GPA Unweighted*
25. Answer the questions below (200 words max)
27. Why do you want to get involved with your local government? (200 words max)*
29. What are your thoughts and ideas on how to improve our community and how can you help? (200 words max)*
31. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
33. Student Electronic Signature*
35. Date*
    Date
37. Resume*
    Including any volunteer activities
39. School Transcript*
41. Photo/Video Form*
43. Program/Activity Participation Form (for Minors)*
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit Submit and Print

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