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									YOUTH IN GOVERNMENT DAY APRIL 19, 2007

APPLICATION

007 “BOND” With Your Community
The City of Huntington Beach has designated Thursday, April 19 as "Youth In Government Day." Youth In Government Day was established as a yearly event to increase high school students’ understanding and involvement in municipal government and provide city government staff an opportunity to hear the opinions and questions of today's youth. The program is open to all high school students who are residents of Huntington Beach. The day will include a two-hour internship for each student to meet on a one-to-one basis with a staff counterpart from a city department. The staff member will explain their role in the city's operation. In addition, a mock City Council meeting will be held and two topics will be introduced as a Request for Council Action (RCA). A luncheon and awards ceremony will follow with a guest speaker. The Huntington Beach Youth Board reaffirms the obligation of all participants to be present for the entire day. The schedule for Youth In Government Day is as follows: YOUTH IN GOVERNMENT DAY ITINERARY 8:00 a.m. - 8:30 a.m. Arrival/Social Time in Police Department Training Room, Civic Center Opening Remarks by Mayor Gil Coerper; Department Introductions by City Administrator, Dr. Penelope Culbreth-Graft Student Internship Mock Staff Meeting (only for departments with assigned RCA) Mock Council Meeting Luncheon, Closing Remarks, Student Evaluations

8:30 a.m. – 9:00 a.m.

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9:00 a.m. – 11:00 a.m. 10:30 a.m. – 11:00 a.m. 11:00 a.m. – 12:00 p.m. 12:00 p.m. –1:45 p.m.

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STUDENT APPLICATION

THURSDAY, APRIL 19, 2007
YOUTH IN GOVERNMENT DAY SPONSORED BY THE HUNTINGTON BEACH YOUTH BOARD Please fill out completely the required information in type or ink. Select your department and/or position choices from those listed on the previous page and have your grade point average initialed by your school registrar. This application must be turned in to your activities office no later than MARCH 16, 2007. Any questions should be addressed to your school's youth board representative:

Ocean View High School Marina High School Huntington Beach High School Edison High School

Kevin Edwards Rebecca Clopp Ann Quan Amelia Huss

655-6910 609-0382 334-6210 393-2639

STUDENT ID# __________________

PLEASE PRINT LEGIBLY
NAME _____________________________________________ ________________________ ADDRESS ________________________ CITY _______________________ ______________________
SCHOOL _________________________

PHONE ZIP CODE

GRADE _______________________

PREVIOUS YEARS G.P.A. HAVE YOU ATTENDED YOUTH IN GOVERNMENT DAY BEFORE? IF SO, WHAT DEPARTMENT? SCHOOL CLUBS AND ORGANIZATIONS, INCLUDING OFFICES HELD: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

VOLUNTEER WORK AND/OR COMMUNITY SERVICES: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ POSITION AND DEPARTMENT APPLYING FOR: • • • • • • • • • • • • • • • • Administration Building & Safety City Attorney City Clerk City Council City Treasurer Community Services Economic Development Finance Fire Information Systems Library Services Planning Police Public Information Public Works THIRD CHOICE:

FIRST CHOICE:

SECOND CHOICE:

In the space provided below, give a brief description of why you would like to participate in Youth In Government Day 2007. Do not attach additional sheets. ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

YOUTH IN GOVERNMENT DAY THURSDAY, APRIL 19, 2007
R.S.V.P. Required

Name____________________________ School__________________________

The above named student has my permission to participate in the activity indicated above. I realize every precaution is taken to eliminate any injuries or hazards and a competent supervisor is present. However, in the event of an injury to my student, I hereby waive, release and hold harmless from any liability for damages or claims for damages for personal injury, including accidental death, as well as from claims for property damage which may arise in connection with the above named activity (if under 18 years of age) against the Huntington Beach Union High School District, the City of Huntington Beach, and their personnel.

SIGNED______________________________________ PARENT OR LEGAL GUARDIAN

PLEASE RETURN TO YOUR SCHOOL’S ACTIVITIES OFFICE ALONG WITH YOUR APPLICATION

MUST BE RETURNED WITH APPLICATION BY MARCH 16, 2007


								
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