Required fields are marked with asterisks (*)

Mayor's Youth Advisory Committee (MYAC) Application

MYAC is a youth-led committee to promote and create youth activities, events and fun in Grimsby, while bringing a youth-led lens to important issues in the community. The committee requires attendees be available for monthly meetings, allott time and dedciation to planning events and participating in sub-committees as required.

Please note applicants must be between 13-19 years of age and a resident of Grimsby.

Full Name

Date of Birth

Phone Number

Address

City

Postal Code

Applicant Email Address

Confirm Email

School Information

School Name

Grade/Year

Parent/Guardian Information

Parent/Guardian Name

Phone Number

Email Address

Application Questions

Why are you interested in joining the Mayor's Youth Advisory Committee (MYAC)?

What community service or volunteer experiences have you participated in before?

What specific skills, talents or qualities do you possess that would make you an asset to MYAC?

MYAC members are expected to attend regular monthly meetings, events and contribute to group projects. Are you able to commit to this level of involvement?

Yes

Please provide the name and contact information of a teacher, counsellor, or community leader who can serve as a reference for you

Reference Name

Relationship to Applicant

Phone Number

Email Address

Terms and Conditions

I understand that MYAC membership is a voluntary commitment and that if selected, I am expected to actively participate in meetings, events, and community projects.

I understand that MYAC members are expected to maintain a respectful and cooperative attitude toward other members, city officials, and the community.

I agree to abide by all MYAC guidelines and policies and to represent the interests and concerns of youth in our community to the best of my ability.

I understand that submitting this application does not guarantee membership in MYAC.

Applicant Signature

Clear

Date