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2. Name*
3. Email*
5. Mailing Address*
7. Phone Number*
8. Can you receive text messages?*
   -- Select One --YesNo
10. Emergency Contact*
11. Emergency Contact Phone:*
13. High School:*
14. Grade:
15. Shirt Size:
17. How did you hear about MYAC?
19. Why are you interested in MYAC?*

21. While fun, MYAC requires a variety of meetings and service projects, can you put forth the needed time to commit to at least 1 meeting and at least 15 hours a month to MYAC? If not, what conflicts exist?

23. Can you attend MYAC meetings on 2nd and 4th Thursdays from 3:45-5:00 PM?*
    -- Select One --YesNo
24. Please explain any meeting conflicts:
26. MYAC is always looking to showcase new talents and ideas. What makes you awesome, or different?
27. What are some of your ideas for improving the City of Eagle? This may include; city events, service projects, youth outreach, etc.
29. How do you plan on making an impact in the community if you are appointed on MYAC? Provide at least 200 words to describe. *
31. By checking this box, I verify that the information contained in this application is true and accurate and that my guardian(s) are supportive of my participation in this organization.*

    1. I agree.
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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