9414-03 Amend Chapter 2, Article 1 of the South Bend Municipal Code - Inclusion of new division I entitled Youth Advisory Council

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Youth Advisory Council South Bend, Indiana Application 1. Complete this application (Please Print or Type) and sign and mail or deliver to: Office of the City Clerk 4tti Floor County-City Building South Bend, Indiana 46601 2. Obtain your parent or guardian's signature to participate. 3. Your completed application and written references of recommendation from two (2) adults unrelated to the applicant must be postmarked no later than May 15, 2003 Student Name: Age: Name of High School: Grade: Residential Address: Residential Telephone: Please check which applies to you: Cell Phone & Email (If Applicable): Gender: M _ F _ GPAa .Zip: I have my own transportation to and from Youth Advisory Council (YAC) meetings. I will be able to use public transportation to attend YAC meetings. Please check which applies to you: (You may select more than one (1) category) I would like to be appointed to one (1) of the six (6) Youth Members for the Councilmanic District (List 1", 2na' 3Ta~ 4`~, 5`~ or 6~') I would like to be appointed to be one (1) of the three (3) Youth Members to serve as an at large member. I would like to be the Youth Member to represent my high school.