Bellevue Youth Council Application

The Bellevue Youth Council (BYC) is the membership body of Youth Link that helps promote various youth programs, provide a leadership role for Youth Link, plan community service projects and serve as a liaison to middle and high schools in Bellevue. Membership ranges from 50-60 students representing various schools, groups and cultural diversity in Bellevue.

Youths interested must fill out an application and commit to two meetings per month during the school year and are encouraged to participate in leadership trainings and conferences. BYC members are also encouraged to participate in the Action Teams. Applications are accepted year-round.

To apply, please complete the application form below or contact Patrick Alina, Youth Link Program Coordinator at 425-452-5254 or via email at YouthLink@bellevuewa.gov if you have further questions.

Name

Address

City

State

ZIP/Postal Code

Home/Cell Phone

Email Address

Parent Email Address

Parent Phone

What school do you attend?

Grade

Name of parent(s)/guardian(s)

Briefly describe your community interests?

Please tell us about yourself and your personal background as it pertains to your school and/or community interests?

What are your personal goals that you would like to accomplish in the Youth Link program?

Responsibilities of Bellevue youth Council Members:

*Members must attend two (2) meetings per month including Action Team meetings as scheduled. (NEW: Virtual online meeting may be a substitute)
*Members must serve in at least one (1) Youth Link Action Team or Planning Committee
*Members must participate in a minimum of one volunteer community service activity per month

The Bellevue Youth Council meets the first and third Wednesday of each month from 5:00pm to 7:00pm. Members are allowed only three unexcused absences during the school year. In addition, each member must work on a community service activity each month which involved 2-10 hours per month (Depending on which project you choose).

If selected, will you be able to honor the commitments required to serve?

Yes

No

BELLEVUE YOUTH COUNCIL (Attend MANDATORY scheduled Bellevue Youth Council meetings every month AND serve in at least one Action Team) If selected, would you be able to meet this requirement?

Yes

No

YOUTH LEADERSHIP TRAINING - In order to develop youth leadership in all phases of our program, Youth Link will provide Bellevue Youth Council members with training and team-building activities. Participation is strongly encouraged and your availability to attend these events will assist your development in the Bellevue Youth Council. If selected, would you be able to meet this requirement?

Yes

No

YOUTH LINK SPECIAL EVENTS - The Bellevue Youth Council hosts annual special events hosted by the Bellevue Youth Council such as the annual Gumbo Night event, Community Leadership Awards, and other special community events. If selected, would you be able to meet this requirement?

Yes

No

Optional

It is our goal that the Bellevue Youth Council will reflect the diversity of Bellevue's young people. Completing the following information will help us ensure diverse representation.

Please fill in response and select the group(s) with which you identify:

Please choose the sex/gender identity you consider yourself to be. (Note: Responses are strictly confidential. The demographic questions and categories were developed in conjunction with Employee Resource Groups and other key stakeholders.)

Female

Gender Neutral

Intersex

Male

Queer

Trans

Two or More of the Above Choices

Not Listed

Prefer Not to Answer

Please choose the race/ethnicity you consider yourself to be. (Note: Responses are strictly confidential. The demographic categories below are determined by Equal Employment Opportunity Commission reporting requirements.)

American Indian/Alaska Native (Non Hispanic or Latino)

Asian (Non Hispanic or Latino)

Black or African American (Non Hispanic or Latino)

Hawaiian or Pacific Islander (Non Hispanic or Latino)

Hispanic or Latino

White (Non Hispanic or Latino)

Two or More Races

Not Listed

Prefer Not to Answer

Date of Birth

Student Signature

Sign above

Parent/Guardian Signature

Sign above

Date

Bellevue Youth Council Application

Responsibilities of Bellevue youth Council Members:

Optional

Contact