Apply to the Youth Council

Milwaukee Youth Council Membership Application
Complete the following application to be considered for the Milwaukee Youth Council. Please fill out all sections to the best of your ability.

First Name

Last Name

Age

Date of Birth

Home Address

Apt. # (if applicable)

Zip Code

Aldermanic District
If you do not know your Aldermanic District, please click here to look it up.

Home Phone (optional)

Cell Phone (optional)

E-mail Address
It is very important that you provide a current e-mail address or phone number where we can reach you. If you do not have a phone or e-mail, you may sign up for a free e-mail account by visiting www.gmail.com.

School

Grade Level

If you are not currently attending school, do you plan to enroll?
 Yes
 No
 Unsure

Why do you want to join the Youth Council?

Name one issue you care deeply about.

How did you hear about the Youth Council?
 School
 Internet
 Radio
TV
Friend
Other  

Which social networking sites do you use? (Check all that apply)
 Facebook
 MySpace
 Twitter
 Other