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Cabarrus County Youth Council <br />Application <br />Full Name: <br />Street Address: <br />City: <br />State: Zip: <br />Telephone (home): ( ) <br />E -mail: <br />Name(s) of Parents or Guardians: <br />(cell): <br />Date of Birth: <br />High School: Grade: <br />Cumulative High School GPA: <br />School groups /clubs /activities in which you participate: <br />Year of Expected Graduation: <br />List other activities you have been involved in through church, clubs, community, etc. <br />What interests you about being a member of the Youth Council? <br />What do you hope to accomplish though being a member of the Youth Council? What do you hope to <br />learn? <br />11/2010 <br />1 -3 <br />Attachment number 5 <br />Page 318 <br />