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2. City of Hopkins Board and Commission Youth Member Application
4. Commission(s), Committee(s) or Board(s) you are interested in (check all that apply):*

   1. Park Board

   1. Planning and Zoning Commission
6. First Name*
7. Last Name*
8. Email*
10. Address*
12. City
13. State
14. Zip Code
16. Please indicate why you want to serve on this committee, board or commission:*
18. Please describe any additional experience/skills:
    (Including, but not limited to, previous board or commission participation, civic groups, language skills, experience/training working with diverse populations or cultures, etc.)
20. The following information will help us understand who is applying for a commission, committee or board membership. Please check the boxes that apply to you.
22. Are you between the ages of 14-18?

    1. Yes
    2. No
23. What school do you attend?
24. Are you a Hopkins Resident?

    1. Yes
    2. No
26. If not a Hopkins Resident, what is your connection to Hopkins?
28. Sex

    1. Male
    2. Female
    3. Transgender Woman
    4. Transgender Man
    5. Non-Binary
    6. Prefer not to say
29. Race/Ethnic Group

    Select all that apply

    1. African American/Black
    2. American Indian/Alaskan Native
    3. Asian or Pacific Islander
    4. Hispanic
    5. White
    6. Other
30. Other
32. Important Notice to All Applications

    Minnesota law requires that you be informed of the purpose and intended uses of the information you provide to the City during the application process. Any information about yourself that you provide during the application will be used to assess your qualifications. Although you are not legally required to supply information, if you do not supply the information requested, it may mean that your application is not considered. Your address, phone number, and email address are private data under Minnesota Law. Upon appointment, your address will become public data.

    1. I agree.
34. Electronic Signature*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field