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Youth Advisory Council <br /> South Bend, Indiana <br /> Application <br /> 1. Complete and submit this application online or download and mail or deliver to: <br /> Office of the City Clerk <br /> 4th Floor County-City <br /> Building South Bend, <br /> Indiana 46601 <br /> 2. Obtain your parent or guardian's signature to participate. <br /> 3. Your completed application and written nomination letters from two (2) adults <br /> unrelated to the applicant must be postmarked no later than Friday, September 6th, <br /> 2019 <br /> Student Name: Age: Gender: M_ F <br /> Name of High School: Grade: GPA: <br /> Residential Address: Zip: <br /> Student Telephone: <br /> Student Email: <br /> Please check which applies to you: <br /> I have my own transportation to and from Youth Advisory Council (YAC) <br /> meetings. <br /> I will be able to use public transportation to attend YAC <br /> meetings. Please check which applies to you: (You may select more <br /> than one(1) category) <br /> Filed in Clerk's Office <br /> ASU 0.71U19 <br /> KAREEMAH FOWLER 8 <br /> CITY CLERK.SOUTH BEND,IN <br />