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Mayor's Youth Council Nomination Form

  1. Adult Information

  2. This section is requesting information about the adult who is nominating a youth for a position on the Burleson Mayor's Youth Council.

  3. Preferred method of contact:
    (if additional information is needed)*

  4. Youth Information

  5. Please enter information about the youth that you are nominating. It is important that this information is fully completed to the best of your ability.

  6. Relationship to youth nominee:*

  7. Current grade level of the youth nominee:*

  8. Current school of the youth nominee:*

  9. Current activities of the youth nominee:
    (please check all that apply)*

  10. Leave This Blank:

  11. This field is not part of the form submission.