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2. Name
4. Address
6. City
7. State
8. Zip Code
10. Telephone
11. Email
13. School You Attend

    1. Home Schooled
    2. Private School
    3. Zephyrhills High School
14. Grade for the 2023/2024 School Year

    1. 9th
    2. 10th
    3. 11th
    4. 12th
16. Grade Point Average
18. Why do you wish to serve on the Mayor’s Youth Council?
20. Describe strengths, attitude, skills and leadership qualities you possess.
22. Describe your background that has prepared you for this leadership role.
24. Essay: How will serving on the Mayor’s Youth Council make a difference in the Zephyrhills community?
26. Letter of Recommendation Required: Please submit a letter of recommendation from a teacher, counselor, parent (home schooled students) or coach.
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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