Teen Commission Application 2022
Teen Commission Application Requirements:
Must submit a full and complete application by 4:30 p.m. on Friday, July 29, 2022 which includes the following:
Submitted application
Submitted Letter of Recommendation
Submitted signed parent/guardian statement of commitment Are required to be a Cupertino resident.
Are required to be incoming 8th-11th graders. Members may be in the 12th grade during their term, but seniors are not eligible to apply.
None of the Teen Commissioners shall be otherwise officials or employees of the City of Cupertino nor be related by blood or marriage to any official or employee of the City.
Save the Date: City Council will conduct interviews beginning at 5:30 p.m. on Monday, August 8 and Tuesday, August 9 (as needed).
1. Fill
information
2. Supplemental
Questions
3. Signed
Statement
*Name of school you attend (Put N/A for the school which does not apply to you) *Full Name
First Name Middle Name Last Name
*Street Address
Street Address Apt/Unit #
*City
City
*Zipcode
Zipcode
*Applicant's Phone
Applicant's Phone
*Parent's Phone
Parent's Phone
*Applicant Email
Applicant Email *Gender M F Other
*How long have you been a resident of the City of Cupertino? Please provde an answer
*What grade are you currently in:
7 8 9 10
Middle School Middle School
High School High School
*What school will you attend in September?
Please provide an answer
*What school will you attend the following year?
Please provide an answer
*What grade will you be in September?
Please provide an answer
*Do you live within the corporate limits of Cupertino?
Yes/No
(The Creston area is not within the corporate limits. Please contact the City Clerk’s Office if you are unsure).
*How old are you today?
Please provide an answer
(If under 18 parent or guardian must sign below)
*Have you served on the Teen Commission before?
Yes/No List
dates:
Seperate with comma(,)
*Have you applied to the Teen Commission before?
Yes/No
*Have you been to a Teen Commission meeting?
Yes/No
If so, when and what was discussed?
Please provide an answer
*Where/How did you hear about the commission vacancy?
Please provide an answer
*Are you related by blood or marriage to any official or employee of the City? Yes No
Next
In case of emergency please contact:
*Name:
Emergency Contact Name
*Relationship:
Emergency Contact Relationship
*Phone:
Emergency Contact Phone
*Email:
Emergency Contact Email
A letter of recommendation from a non-family member is required. This can be from a teacher, coach, scout troop leader, etc. Be sure to give your letter writer advanced notice of the application. Provide the details below and then an email will go to that person once you submit the form.
*Name of Contact Person:
Contact Person Full Name
*Contact Person Email:
Contact Person Email
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