RECEIVED
CITY CLERK'S OFFICE
PRINT FORM Biolomor NOVEMBER 15, 2024 CLEAR FORM
Richmond Youth Council Application
Date of Application: Check one: New Appointment: /
November 14 2024
Re-Appointment:
Applicant Name: Ode Kunthar
E-mail address:
Date of Birth: Age at date of application: 16 Years living in Richmond: 11 Home Address (Street Address, City, and Zip Code):
Richmond CA 94806
Primary Phone: Secondary Phone (optional):
Name of School (if applicable):
Work Experience / Volunteer Experience:
Founder - Middle College High School Advocacy Club (October 2024 - ongoing) Program Assistant - Center for Empowering Refugees and Immigrants (June 2024 - August 2024) Intern - Child Mind Institute Youth Mental Health Academy (June 2024 - July 2025) Volunteer - ARTogether Summer Art Camp for Kids (June 2024) Member - Middle College High School Conservation & Community Service Committee (August 2023 - December 2024)
Organizations, Honors, affiliations:
Secretary - Contra Costa College Associated Student Union Vice President - Contra Costa College Phi Theta Kappa Honors Society Vice Chair - Contra Costa College Inter-Club Council
References (List Name, Address, Phone Number, and Email Address):
1)Teaya Moody,
2)Steve Hoffman
3 Angela Loera,
To the best of my knowledge the information provided is true and correct:
Signature: Date: November 14, 2024
Submit to: City Clerk, 450 Civic Center Plaza, Richmond, CA 94804 OR Email to: [email protected] For Office Use Only: New Appointment: 0 Reappointment: