Youth in Government Application
Please type or print the following information. Return completed application to the City of Hurst
by September 17, 2010:
Grade Point Average: Grade Point Scale:
What are you involved in? (i.e. Clubs, Athletics, etc. inside/outside school):
Briefly explain why you are interested in the Youth in Government Program:
Are there any conflicts with your schedule that would prevent you from attending meetings
once a month on a Thursday afternoon or evening?
How did you find out about the Youth in Government Program?
Return this form to:
Youth in Government, c/o Ashleigh Whiteman,
1505 Precinct Line Rd.
Hurst, TX 76054