The City of South San Francisco
Office of the City Clerk
400 Grand Avenue
South San Francisco, CA 94080
CALIFORNIA (650) 877-8518
YOUTH COMMISSION APPLICATION
APPLICANT INFORMATION
Garcia, Meriyah
Full Name: Date of Birth:
Laksa First (MM/DD/YYYY)
Address:
Street Address District
South San Francisco CA 94080
City State ZIP Code
Telephon Email.
SCHOOL INFORMATION
Please Select Grade: Please Select School:
gth Grade Freshman Baden High School
10t Grade Sophomore El Camino High School
11t Grade Junior South San Francisco High School
12' Grade Senior College:
Other: Other: _
SUPPLEMENTAL QUESTIONNAIRE
Why do you want to serve on the Youth Commission? Why do you believe the Youth Commission is important?
I would like to serve on the Youth Commission because I want to learn about how the board and commission are involved in decisions that will make our community better. I believe it is important because I get a chance to use my voice expressing on issues and connect with local government and the community.
1 The City of South San Francisco
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.
All Souls Harvest volunteer
All Souls church cleaning volunteer
Sign Hill Steward volunteer
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.
The biggest issue affecting youth is mental health. Promoting healthy life styles, educating, and bringing awareness on mental health and wellness. The youth is the future and mental health is important for the growth of being the best versions of our selves.
Having a teen employment program in SSF, that has a school year program, fall program, spring program and a summer program involving internships at SSF city departments and job readiness workshops and to learn about careers in SSF
Can you commit to attending 6:30 p.m. meetings on the third Monday of each month? •YES • NO If no, please explain:
2 The City of South San Francisco
Office of the City Clerk
400 Grand Avenue
South San Francisco, CA 94080
CALIFORNYA (650) 877-8518
DISCLAIMER IND SIGNATURE
Applicant
Signature: Date: 12 11•2025
Parent
Signature: Date: 12/11/25
I certify that, to the bestlof 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:
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