Lenawee YOUTH Council Application
Name
School
Address
City
State
Zip
Phone Number
Email Address
Parent/Guardian #1 Name
Parent/Guardian #1 Phone Number
Parent/Guardian #2 Name (optional)
Parent/Guardian #2 Phone Number (optional)
Why are you interested in joining the Lenawee YOUTH Council?
What would you like to learn as an LYC member?
What volunteer activities (or agencies) would you like to participate in?
What colleges would you like to visit?
What careers would you like to learn about?
What skills or talents would you like to share with other members?
Is there anything else we should know about you?
Signature (type your full name)
Date
Please select the top 3 issues you feel are important to address for youth in our community.
Select up to 3:
ArtsBullyingDiversity/InclusionEducationEnvironmentHealthViolence/VictimizationMentoringPovertyRecreationSubstance AbuseTeen PregnancyHomelessness/HousingJuvenile DelinquencyTechnologyHungerMental Health Issues
Other (optional)
Out of the issues you selected above, which one do you feel is the top issue/concern facing youth today and why?
How do you feel we can work on this issue/concern?
What projects/issues should we address?
LYC meets two times a month. Will you be able to attend most of our monthly meetings (subject to change), the second and fourth Monday of the month at 6:30–8:00 pm at Lenawee Community Foundation?
Definitely yesProbably yesNot sureI can’t make it
