City of Cupertino, CA | Teen Commission Application

*Full Name

*Street Address

*City

*Zipcode

*Applicant's Phone

*Parent's Phone

*Applicant Email

*Gender

MFOther

*How long have you been a resident of the City of Cupertino?

*What grade are you currently in:

78910

*Name of school you attend (Put N/A for the school which does not apply to you)
Middle School
High School

*What school will you attend in September?

*What school will you attend the following year?

*What grade will you be in September?

*Do you live within the corporate limits of Cupertino?

(The Creston area is not within the corporate limits. Please contact the City Clerk’s Office if you are unsure).

*How old are you today?

(If under 18 parent or guardian must sign below)

*Have you served on the Teen Commission before?

List dates:

*Have you applied to the Teen Commission before?

*Have you been to a Teen Commission meeting?

If so, when and what was discussed?

*Where/How did you hear about the commission vacancy?

*Are you related by blood or marriage to any official or employee of the City?

Yes

In case of emergency please contact:

*Name:

*Relationship:

*Phone:

*Email:

A letter of recommendation from a non-family member is required. This can be from a teacher, coach, scout troop leader, etc. Be sure to give your letter writer advanced notice of the application. Provide the details below and then an email will go to that person once you submit the form.

*Name of Contact Person:

*Contact Person Email:

Answers to each question should not exceed more than 300 words

*1. The Teen Commission advises the City Council and staff on issues and projects important to youth. What qualifies you to represent your teen community?

*2. What extracurricular activities do you engage in? This can include school organizations or clubs as well as involvement in organizations outside of school?

*3. Teen Commissioners help to promote City of Cupertino programs. How would you promote a teen program to the local teen community?

*4. What is a teen program that you would like to see in the City of Cupertino?

Signed Statement

Parent/Guardian signature is mandatory. The application won't be considered complete unless your parent/guardian sign it.
Once they sign, a popup will appear to provide an email address where you will receive the signed document.
Please remember to submit the application by clicking the Submit your Application button at the end of the page once your parent/guardian has signed it.