Peachtree City Youth Council Application D EAD LIN E FO R SUBMI SSI ON : F R I DAY, N OVE MBE R 20 TO BE CONSIDERED FOR THE PEACHTREE CITY YOUTH COUNCIL, STUDENT APPLICANTS MUST MEET THE FOLLOWING CRITERIA BELOW: •
Be enrolled in high school as a sophomore, junior, or senior
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Reside within Peachtree City, or attend a school serving youth residents of the city (as permitted by city policy) – preference will be given to students residing within Peachtree City boundaries
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Be academically eligible to participate in school sports or other extracurricular activities
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Be free of any serious disciplinary actions from school for the past 12 months
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Secure parental or guardian permission and support to participate in events
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Demonstrate an interest in leadership, civic engagement, government, and community service
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Attend the mandatory onboarding session before induction in January 2027
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Participate in at least one Peachtree City City Council meeting, community service activity, or other approved City-sponsored event during their time on Youth Council
CO N TACT I NFOR MATI ON Applicant Name:_________________________________________________________________ Age:_______ Grade:_________School:________________________Phone Number:_ ________________________________ Street Address:_________________________________City/State_______________________________________ Zip:_______________________Email Address:____________________________________________________ Shirt Size: (Adult Unisex Sizes) ☐XS ☐S ☐M ☐L ☐XL ☐XXL
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S HORT ANSWE R R E SP ON SE S Why are you interested in serving on Peachtree City’s Youth Council?
In your opinion, what is one of the most challenging issues facing youth today? How does it affect youth in Peachtree City in general?
If you could change anything about your city, what would it be, and why?
What are your future post-high school goals (college, career, trade, etc.)?
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S HORT ANSWE R R E SP ON SE S How many hours a month could you commit to the Youth Council? The minimum is a 90-minute (1.5 hour) meeting monthly.
Do you foresee any conflicts with participating on the Youth Council? Please explain.
Is there anything else that you would like us to know about you or what you participate in?
OPTIONAL: Please list at least two adult references below that are not family. References should know the applicant well and be able to answer questions about the applicant’s qualifications for the Peachtree City Youth Council. References may be contacted by the Youth Activities Committee. 1. Name:___________________________________________________________________________________ Relationship to applicant:____________________________________________________________________ Email:_______________________________________ Phone Number:_______________________________ 2. Name:___________________________________________________________________________________ Relationship to applicant:____________________________________________________________________ Email:_______________________________________ Phone Number:_______________________________
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A F F IDAVIT I, ___________________________, of ___________________, Georgia, verify that the information on this application is correct to the best of my knowledge. I am interested in serving with the Youth Council for Peachtree City, and if selected, I will abide by all the rules and regulations set forth by the Youth Activities Committee and the City Council of Peachtree City. I recognize that failure to follow rules and regulations may result in a probationary period or my removal from the council. ________________________________________________________________________ Date: _____________
I, ___________________________, parent/guardian of ________________________, grant permission for my child to serve on the Youth Council of Peachtree City. I also give permission for the release of my child’s grades to the Youth Advisory Council for review and evaluation. If my child is selected, I pledge to assist my child in their position on the council and communicate with the Youth Advisory Committee if circumstances allowing my child to participate in Youth Council may change. ________________________________________________________________________ Date: _____________
Once the application is complete, please deliver or mail the form directly to: Peachtree City Youth Council c/o Michelle Wood, Youth Council Program Coordinator 151 Willowbend Road Peachtree City, GA 30269
Completed applications may also be emailed to Michelle Wood at mwood@peachtree-city.org
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