City of Houston eGovernment Center

Important Note:
There are a series of short answer/essay questions that will need to be completed and may take you time to conclude. Therefore, print the application to draft your responses before completing the on-line application and then key it in at one time. Your data/responses will be lost once you click out of the application page.

I. PERSONAL

First Name
Middle Name
Last Name
Address
City
ZIP
Home Phone		Cell Phone
E-Mail
School
Grade
Birthday (MM/DD/YYYY)	/ /
Age		Gender

Emergency Contact
Name
Relation
Phone

II. TELL US A LITTLE ABOUT YOURSELF ...

	List Three Strengths
Strength 1
Strength 2
Strength 3

	List Three Weaknesses
Weakness 1
Weakness 2
Weakness 3

If you had to sum up your character / personality in 4 sentences, what would you write? (750 Character Limit)
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How did you hear about the Mayor's Youth Council? (750 Character Limit)
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Do you know any of the current Mayor's Youth Council Members? If yes, please list name(s). (750 Character Limit)
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III. EXPERIENCE

Do you have any experience working on projects to improve your community or speaking out on youth issues? If so, describe your experience.
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How has your experience prepared you to become a leader?
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IV. ACTIVITIES / ORGANIZATIONS / INVOLVEMENT
ALL school activities you are involved in (past and present). Please give group name, years of membership, and officer positions you have held. ALL community service projects you have participated in. Please describe the activities. Other outstanding recognition you have received. Specific activities related to government or politics or the political process.
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2. Do you plan to or have a part-time job?

If yes, how many hours will you or do you work per week?


3. Approximately how much time a week do you spend in extra-curriculum activities?
	hours per week

4. Which of your non-academic activities would you not be able to miss for Youth Council?
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V. SHORT ANSWER (100 to 150 words)

1. What do you think are major concerns to youth today?
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2. What are some roadblocks between youth and adults?
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3. Describe an experience that presented a challenge for you. How did you overcome that challenge?
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4. List five qualities that describe a good leader. Why are these qualities important?
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5. Find out as much information as you can about the City Council district where you live. Identify your City Council member and list his / her major issues and accomplishments. (Hint: check the City of Houston website at www.houstontx.gov/houstonyouth.)
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