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PRINT FORM CLEAR FORM
Richmond Youth Council Application
Date of Application: Check one: New Appointmen~
02/04/2025
Re-Appointment; ~
-
Applicant Name:Abhijeet Babu Prasad
E-mail address:
Date of Birth:
Age at date of application: 17 Years living in Richmond:
17 Home Address (Street Address, City, and Zip Code):
94803
Primary Phone: Secondary Phone (optional):
Name of School (if applicable):
Work Experience / Volunteer Experience:
Project Santa (Salesian Volunteer)
Youthcourt
Personal Tutor
Black Belt
Presidential Volunteer Service Award (100 hours)
Freshman Class President
Organizations, Honors, affiliations:
Youthcourt
Youthcourt
References (List Name, Address, Phone Number, and Email Address):
l)Kenneth Fahr,
2)Adrian Fulay,
3)Stephen Pezzola ,
To the best of my knowledge the information provided is t rue and correct:
Date: 02--04- zori5
Submit to: City Clerk, 0 Civic Center Plaza, Richmond, CA 94804 OR Email to: [email protected] For Office Use Only. New· App01ntment D Reappointment 0 C 1st 02"" 03rd