RECEIVED
FEB = 7 2024
PRINT FORM CLEAR FORM
CITY OF RICHMOND
CITY CLERK'S OFFICE
Richmond Youth Council Application
Date of Application: Check one: New Appointment,
02/05/2024
Re-Appointment:
Applicant Name: Andrea Martinez Alvarez
E-mail address:
Date of Birth: Age at date of application: 16 Years living in Richmond: 16 03/26/2007
Home Address (Street Address, City, and Zip Code):
Primary Phone: Secondary Phone (optional):
Name of School (if applicable):
Work Experience / Volunteer Experience:
- Rising Juntos (Volunteer)
- YES Nature to Neighborhoods (Volunteer + In program)
- YET (with YES)
Organizations, Honors, affiliations:
associated student body, national honor society
associated student body, national honor society
References (List Name, Address, Phone Number, and Email Address):
1 2
To the best of my knowledge the information provided is true and correct:
Signature: andrea martinez alvarez Date: 02/07/2024
Submit to: City Clerk, 450 Civic Center Plaza, Richmond, CA 94804 OR Email to: [email protected] For Office Use Only: New Appointment: Reappointment: 1st 2 3rd