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2. Attention:

   This application is solely for individuals ages 13-17 applying for the youth delegate position on the Orange County Parks and Recreation Council. 

   If you are applying for any other position on this board or another board, please use the following application instead: https://www4.orangecountync.gov/boards/application.asp

4. Applicant Contact Information
6. Applicant First Name*
7. Applicant Last Name*
9. Applicant Street Address*
11. City*
12. State*
13. Zip Code*
15. Applicant Phone Number*
16. Applicant Email Address*
20. Parent/Legal Guardian First Name*
21. Parent/Legal Guardian Last Name*
23. Parent/Legal Guardian Street Address*
25. City*
26. State*
27. Zip Code*
29. Parent/Legal Guardian Phone Number*
30. Parent/Legal Guardian Email Address*
34. What year did you become a resident of Orange County?
36. We ask your help in assuring diversity of membership by answering the following questions:
38. Gender Identity*
    -- Select One --FemaleMaleNon-binaryTransgenderOtherChoose not to disclose
40. Racial/Ethnic Background*
    -- Select One --African AmericanAsian AmericanHispanicNative AmericanWhiteOther
42. Please list your current community activities and organizational memberships:*
44. Please list the Orange County Advisory Boards that you are currently serving on or that you have served on in the past:*
46. How did you become aware of Orange County volunteer opportunities?*
    -- Select One --County websiteCurrent Orange County volunteere-NewsletterNewspaperRadioTVWord of mouthOther
47. If other, how?
51. Please explain how your background, experience, and interest is relevant to the Parks and Recreation Council:*
53. Please explain why you would like to serve on the Parks and Recreation Council:*
55. How would your participation on the Parks & Recreation Council contribute to its diversity of viewpoints?*
57. Do you have an person or business interest(s) that could create a conflict of interest (either real or perceived) if you are appointed to this board?*
    -- Select One --YesNo
58. If yes, then please explain:
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field