Date of Birth
Apt. # (if applicable)
If you do not know your Aldermanic District, please click here to look it up.
Home Phone (optional)
Cell Phone (optional)
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.
If you are not currently attending school, do you plan to enroll?
Why do you want to join the Youth Council?
Name one issue you care deeply about.
How did you hear about the Youth Council?
Which social networking sites do you use? (Check all that apply)