Youth Advisory Board Application - The City of Daytona Beach Youth Advisory Board Application

Youth Advisory Board Application - The City of Daytona Beach Youth Advisory Board Application Application Form Structure (4 Steps): Step 1: Personal Information - First Name, Last Name - Street Address (applicants must reside within city limits of Daytona Beach) - City, State, Zip - Email Address - Race (requested pursuant to Section 760.80 Florida Statutes) - Sex - Age - Special accommodations required (Yes/No with description field) - Name of High School - Grade - GPA - Transportation availability checkbox - Self-initiated interest or referred by individual(s) Step 2: Experience and Commitment - List extracurricular activities - List memberships in organizations or clubs - Essay: Describe why you want to be part of the Daytona Beach Youth Advisory Board - Essay: Describe personal skills and characteristics that would make you a good community representative - Commitment confirmation: Willing to attend virtual meetings in addition to in-person meetings, events and activities after school, some evenings, and some weekends for one year period and commit to making a difference in the city (Yes/No) - Parent's Initials required Step 3: Applicant and Parent/Guardian Signatures - Applicant signature and date with statement of understanding regarding commitment, teamwork, cooperation, and conduct as city representative - For applicants under 18: Parent/Guardian contact information and permission statement - Parent/Guardian acknowledgment regarding media photography/filming with opt-out initials option - Parent/Guardian signature and contact information Step 4: Legal Information - Florida Statute 760.80: Discrimination in Treatment of Persons; Minority Representation on Boards and Commissions - Legislative intent to recognize importance of balance in appointment of minority and nonminority persons - Recognition of importance of including persons with physical disabilities - Definition of minority persons: African American, Hispanic American, Asian American, Native American, American woman - Appointing authority requirements to select qualified candidates ensuring membership reflects proportionate minority representation based on most recent federal decennial census - Annual reporting requirements to Secretary of State by December 1 - Effective date: January 1, 1995 Form includes Google reCAPTCHA protection.