YES Application for Participation

Stafford County “YES” Program

Youth Engaged in Stafford
Stafford County and Stafford County Public Schools are pleased to offer a program that seeks to engage our youth in local government. The Youth Engaged in Stafford (YES) Program provides 10th, 11th, and 12th grade students an opportunity to learn about county government while also giving youth a hands-on experience in the daily processes and decisions that make Stafford County a great community to live, work, and raise a family. As community members, your voice is integral to this process and Stafford County wants to hear from you!
You have two opportunities to be involved. You can participate on a Board, Authority, Committee, or Commission (BACC), or you can become a member of our Youth Advisory Council that will work with the Leadership Team of the county on projects.

Say YES and become engaged in local government!

Edit Form

Student Name:*

Parent/Guardian Name:*

Address:

City:

Zip:

Email:

Home Phone:

Cell Phone:

School: --Select One-- Brooke Point Colonial Forge Mountain View North Stafford Stafford Other

Graduation Year:

Current GPA:

Are you able to commit 1-3 hours monthly to the program?

Yes

No

If no, how many hours can you commit?

Please indicate up to three of the Boards, Authorities, Committees, and Commissions in which you are interested in participating.

1st Choice:* --Select One-- Agricultural Commission/Purchase of Development Rights (PDR) Architectural Review Board (ARB) Board of Social Services Chaplin Group Home Commission Community Policy and Management Team for at Risk Youth and Families (CPMT) Historical Commission Parks and Recreation Commission Planning Commission (PC) (televised) Rappahannock Area Agency on Aging Board of Directors (RAAA) Rappahannock Area Youth Commission Rappahannock Juvenile Detention Commission Rappahannock Regional Jail Authority Board Rappahannock Regional Solid Waste Management Board (R-Board) Telecommunications Commission Thurman Brisben Center Utilities Commission

2nd Choice:* --Select One-- Agricultural Commission/Purchase of Development Rights (PDR) Architectural Review Board (ARB) Board of Social Services Chaplin Group Home Commission Community Policy and Management Team for at Risk Youth and Families (CPMT) Historical Commission Parks and Recreation Commission Planning Commission (PC) (televised) Rappahannock Area Agency on Aging Board of Directors (RAAA) Rappahannock Area Youth Commission Rappahannock Juvenile Detention Commission Rappahannock Regional Jail Authority Board Rappahannock Regional Solid Waste Management Board (R-Board) Telecommunications Commission Thurman Brisben Center Utilities Commission

3rd Choice:* --Select One-- Agricultural Commission/Purchase of Development Rights (PDR) Architectural Review Board (ARB) Board of Social Services Chaplin Group Home Commission Community Policy and Management Team for at Risk Youth and Families (CPMT) Historical Commission Parks and Recreation Commission Planning Commission (PC) (televised) Rappahannock Area Agency on Aging Board of Directors (RAAA) Rappahannock Area Youth Commission Rappahannock Juvenile Detention Commission Rappahannock Regional Jail Authority Board Rappahannock Regional Solid Waste Management Board (R-Board) Telecommunications Commission Thurman Brisben Center Utilities Commission

Please indicate if you are interested in serving on the Youth Advisory Council?

Yes

No

Please explain why you would like to participate on a BACC or the Youth Advisory Council as a student member?

What experience or interests do you have that will make you a valued member to the BACC or Youth Advisory Council?

Please list any clubs, athletic teams, community service, or any other groups that you are or were involved with.

Please upload two letters of recommendation (one from a teacher/one personal) as well as a resume.

Upload teacher recommendation:*

Upload personal recommendation:*

Upload resume:*

Disclaimer* “I, as well as my parents/guardian, understand that participation on a BACC or the Youth Advisory Council requires a significant commitment of time and energy, attending monthly meetings, and participating in activities. I am willing to make that commitment and my parent/guardian supports me.”

By checking the "I agree" box you are electronically signing this document.

I agree

I disagree