Town of Camp Verde Parks & Recreation

359 S. Main Street

Camp Verde, Arizona 86322

928-567-0535 ext 132

Youth Commission Application

Name:___________________________________________________________________________________

Physical Address:___________________________________________________________

Mailing Address:__________________________________________________________________________

Phone:(Home)_________________(Work)__________________(Cell)________________

E-Mail:(Home or Work)_____________________________________________________

 

Please Answer The Following Questions

1. Why do you want to be apart of Youth Commission: _______________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

2. Tell us about yourself? What are your hobbies, interests & schooling? Any general information pertinent: ________________

_________________________________________________________________________________________

_________________________________________________________________________________________

3. What do believe the duties of this commission are and how do you plan to contribute-

and how much time are you willing to dedicate to this commission: ___________________ _________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

 

Signature_________________________________________Date______________

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