Youth-Led Mayoral Debate Application

NAME and ADDRESS

PLEASE INCLUDE BOTH.

Please check all that apply:

Male Female Other Age 14-17 Age 18-24

Please write:
1. YOUR EMAIL ADDRESS or PHONE NUMBER, and
2. THE NAME, PLUS THE EMAIL ADDRESS or PHONE NUMBER OF ONE ADULT CONTACT PERSON IF YOU ARE UNDER 18 *

IF YOU ARE UNDER 18 WE MUST HAVE CONTACT INFORMATION FOR AN ADULT. The adult contact person should be an adult that you live with, such as a parent, guardian, friend's parent, foster care parent, etc.

Why are you interested in working to plan a youth-led mayoral debate? *

Can you come to meetings on Wednesdays from 4:30-7:00 pm every week from March 13 - May 8? *

You must be able to commit to the program times.

What is something that you are passionate about? Why? How does it show up in your life? *

What kind of things do you think you're good at? *

If you could have dinner with any person (real or fictional, living or not), who would it be and why? person (real or fictional, living or not), who would it be and why? *

What are three of the most important issues you think the next mayor of New York City should focus on, and why?

What after school commitments do you currently have or anticipate having during next school year?

This includes clubs, after-school activities, teams, sports, school requirements, home requirements, and/or part-time jobs.

Wufoo