City of Rochester Hills Government Youth Council (RHGYC) Application
Applicant Information
Full Name:
Birth Date:
Address:
Street Address
Apartment/Unit #
Rochester Hills
MI
City
State
ZIP Code
Phone:
Email
Parent/Guardian Information
Full Name:
Phone:
Email
School Information
Grade in Fall:
Principal’s Name:
School Phone
:
School Address:
Street Address
Rochester Hills
MI
City
State
ZIP Code
Essay Questions
Please type or neatly write a short essay on a separate piece of paper responding to the following questions. (500 words maximum
per question)
1. Do you believe community service is a choice or obligation as a citizen?
2. List three qualities that every committee member should possess and why?
3. If you could give a Ted Talk about anything, what would you talk about and why?
Recommendations
P
lease include two letters of recommendation (with your application and essay) from adults who know you at school and your
activities outside of school.
Interest Statement
I am interested in serving
on the Rochester Hills Government Youth Council. I understand that, if selected, I will be required to sign
the 2024-2025 Letter of
Understanding outlining my responsibilities to the RHGYC.
Signature:
Date:
Applicant Signature
Parent or Legal Guardian Statement and Signature
I
have read the above interest statement and give my permission for my son/daughter to serve as a youth representative on the
Rochester Hills Government Youth Council.
Signature:
Date:
Parent or Guardian Signature
Application Instructions
Completed application, essay, and letters
of recommendation must be received by 5:00 pm on Friday, May 17, 2024 at the City of
Rochester Hills Clerk’s Office. All documents may be returned in person, by mail, email, or faxed to:
City of Rochester Hills Clerk’s Office
1000 Rochester Hills Drive
Rochester Hills, MI 48309
email: [email protected]
fax: (248) 656-4744
The returned information will remain in the Clerk’s Office and are not confidential. For additional information, please call the
Clerk’s Office at (248) 656-4630.
Clerk’s Office Use Only
Date Received: __________________________
Completed Application
Essay Questions
Two Letters of Recommendation
Signed Interest Statement