The City of South San Francisco
ğhi fic Grand Avenue
South San Francisco, CA 94080
CALIFORNIA (650) 877-8518
YOUTH COMMISSION APPLICATION
APPLICANT INFORMATION
Full Name: Chavez David Date of Birth:
Last First (MM/DD/YYYY)
Address:
District
California 94080
State TAP Code
Telephone: Email:
SCHOOL INFORMATION
Please Select Grade: Please Select School:
gth Grade Freshman Baden High School
10th Grade Sophomore El Camino High School
11* Grade Junior South San Francisco High School
Skyline Community
12th Grade Senior College:
Other: Upcoming Freshman Other:
SUPPLEMENTAL QUESTIONNAIRE
Why do you want to serve on the Youth Commission? Why do you believe the Youth Commission is important?
Why I want to serve on the Youth Commission and why I believe the Commission is important correlate with each other:
I want to serve on the Commission because I want to be involved in government in any way I can, and serving on the Commission could be a step in the right direction. I wish to be alert to everything that happens within local, state, and federal governments, for their decisions impact us all. Secondly, if there is to be any hope for the future, our present and youth must both be prepared and change for the better. I believe, without a shadow of a doubt, change and preparation can be accomplished with the support of the whole community and the efforts of the Youth Commission. This is why I hope to be part of this service; I want to help and learn, and I wish to start here and now.
The City of South San Francisco
CITY Office of the City Clerk
400 Grand Avenue
South San Francisco, CA 94080
CALIFORNIA (650) 877-8518
SUPPLEMENTAL QUESTIONNAIRE
Please list school and community activities or service organizations in which you are involved in.
In the Grand Library Program:
The Grand Library's Dice Cavern
The Youth Commission addresses issues affecting youth and the community through making recommendations to City Council. Please explain what you believe is the biggest issue concerning youth in South San Francisco today.
One of many major issues that we can tackle together concerning youth in South San Francisco today, is the environment and climate change. The science and the studies all tell the same thing: if we do not act now; cut our plastic waste, our greenhouse gas emissions, and invest in sustainable and attainable practices and alternatives, we will expereince more environmental changes. The global temperature will continue to rise and it will cause all amount of effects on the natural world and our lives.
Can you commit to attending 6:30 p.m. meetings on the third Monday of each month? DYES • NO If no, please explain:
2 The City of South San Francisco
8 Office of the City Clerk
400 Grand Avenue
South San Francisco, CA 94080
CALIFORNIA (650) 877-8518
DISCLAIMER AND SIGNATURE
Applicant 5/29/2025
Signature: Date:
Parent
Signature: Date:
I certify that, to the best of my knowledge, all statements in this application are complete and true. I agree and understand that any mis-statement of material fact will cause me to forfeit all rights to appointment to a Commission, Board, or Committee with the City of South San Francisco.
Applications are accepted on a continuous basis and will remain valid 1 year from the date of submission.
OFFICIAL USE ONLY
Submission Date: Received By:
5/29/25 EDLG
3 David Chavez
EDUCATION LANGUAGES
English
South San Francisco High School: 400 B St, South San
Francisco, CA 94080 — High School Diploma Spanish
August 2020 - May 2024
References:
PROJECTS
Warren, Elliot.
Palpable Afterwords: A Collection — Self-Publication,
Collection of Short Stories
• A work in progress.
SKILLS
Canva
VOLUNTEER EXPERIENCE
Communication
Grand Avenue Library: 306 Walnut Ave, South San Francisco, Creative Writing CA 94080 — Recreational Program Host
Editing
December 2024 - PRESENT
• In hosting the program, the Grand Library's Dice Cavern, Ilead Google Suite library-goers through an engaging world of imagination and Organizational
role-play, using the TTRPG (Table-Top Role-Playing Game) system of Dungeons & Dragons. Teamwork
Time Management
• This experience has given me the opportunity to strengthen important skills such as teamwork, cooperation, communication, and creativity. It is an opportunity I enjoy much because together we collectively tell a story; it is crafted and shared together, for all and many, and it ultimately reinforces our bond of community. • Thanks to the invaluable support of the dedicated staff at the Grand Library, I have managed and coordinated all aspects of the program.
This involves planning and designing storyline goals and overseeing the execution and guidance of such.