Lakeville Youth Advisory Commission

2. Please be advised that in accordance with Minnesota Statute, the following information is considered public data: name and residential address. The private data you provide is needed to identify you and to assist in determining your qualification for appointment. Only authorized employees and appointing authorities have access to the private information submitted. If appointed, the public will be provided a City-issued phone number and email address for contacting the Lakeville Youth Advisory Commission.

4. The purpose of the Lakeville Youth Advisory Commission is to serve as an advisory body to the Lakeville City Council. The Commission will provide Lakeville’s youth the opportunity to participate in the City’s decision-making processes, provide the City Council with recommendations on a variety of issues, promote existing initiatives while developing new programs and encourage more youth to become effective leaders who will help shape the future of Lakeville.

   Commission members must be 14 to 18 years old at the time of selection.

6. First name*
7. Last name*
9. Street address, city, state, zip code*
11. Email address*
12. Home phone*
13. Cell phone*
15. School you will attend in the 2022-2023 school year*
16. Grade you will be in in for the 2022-2023 school year*
18. Why are you interested in serving on the Lakeville Youth Advisory Commission?*
20. What are some topics you'd like to see the Commission address?*
22. Other comments:
24. By-Laws
    Lakeville Youth Advisory Commission By-Laws (PDF)
26. Acknowledgement*

    By clicking on the “Accept” button, I hereby certify that every statement I have made in this application is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions on either the application or during my interview may disqualify me from further consideration for appointment to an advisory board. I authorize investigation of all statements contained in this application or made during my interview as may be necessary.

    1. Accept
28. Date
    Date
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field