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2. First Name*
3. Last Name*
5. Current Grade Level*
   -- Select One --8th9th10th11th
6. School*
   -- Select One --Dallas Christian AcademyHorn High SchoolIgnite Community SchoolLegacy Prep Charter SchoolMesquite AcademyMesquite High SchoolNorth Mesquite High SchoolPioneer Technology & Arts AcademyPoteet High SchoolVanguard High SchoolWest Mesquite High SchoolHomeschoolOther - my school is not listed
8. Ethnicity
   -- Select One --HispanicNon-HispanicPrefer not to respond
9. Race
   -- Select One --American Indian or Alaska NativeAsianBlack/African AmericanMiddle Eastern or North AfricanNative Hawaiian or Other Pacific IslanderWhitePrefer not to respond
11. Gender
    -- Select One --FemaleMaleNon-BinaryPrefer not to respond
13. Email Address*

    Provide the email address you check most frequently. This is the email address application updates will be sent to.

14. Mobile Phone Number*

    Example: 785-191-4562

16. Address1*
18. Address2
20. City*
21. State*
    -- Select One --Texas
22. Zip*
26. Parent/Guardian First Name*
27. Parent/Guardian Last Name*
29. Parent/Guardian Email Address*
30. Parent/Guardian Mobile Phone Number*

    Example: 478-365-7458

32. Parent/Guardian Address1*
34. Parent/Guardian Address2
36. Parent/Guardian City*
37. State*
    -- Select One --Texas
38. Parent/Guardian Zip*
42. Do you live in the City of Mesquite?*
    -- Select One --YesNo
44. How did you hear about the Mesquite Youth Council?*
    -- Select One --TeacherTeacher Nomination formSchool employee other than teacherFriendFamilySocial Media - City of MesquiteSocial Media - SchoolSocial Media - MISDClassroom or club visit from Mesquite Youth ServicesFlyerCity of Mesquite WebpageOther
46. Are you willing to attend meetings, events, and activities of the Mesquite Youth Council for a 1-year term?*
    -- Select One --YesNo
50. List any activities you are involved in and a brief description:

    Help us get to know you and your interests! Tell us about club/organizations, athletics, arts, religious engagements, etc. that you are involved in on a regular basis. 

    Note: If you do not have any activities to list, it will not be held against you.

    Provide your answers in each of the boxes below with how long you've been involved and a brief description: 

    Example 1: Part time job at Chipotle – I work part time at Chipotle after school and on the weekends. I have worked there since November of 2024 and plan to continue working there next school year

    Example 2: Band Member at West Mesquite – I play the trombone in the marching band at West Mesquite High School. I have been a member of the band since 9^th grade and practice weekly after school and attend sporting events and competitions.

    Example 3: Member of Lions Club – I am a member of the Lions Club outside of school. I have been a member since 7^th grade. We plan events for my church’s youth group. I enjoy planning events for all age groups and getting to learn from our youth leaders.

52. Activity #1 - 300 character limit
54. Activity #2 - 300 character limit
56. Activity #3 - 300 character limit
58. Activity #4 - 300 character limit
62. Short Answer Question #1 - 999 character limit*

    The City of Mesquite is working to improve both downtown Mesquite and Town East Mall to better serve the community. What specific improvement or project would you propose for either location, and why?

    - Explain your idea and why you chose it.

    - How would it improve, enhance, or upgrade the location for its users?

64. Short Answer Question #2 - 999 character limit*

    The Mesquite Youth Council provides students with an opportunity to develop leadership skills, engage with the community, and make a meaningful impact. Why do you want to be a part of the Mesquite Youth Council?

68. Letter of Recommendation*

    Letter of recommendation must:

    1. be from a non-family member (principal, counselor, teacher, coach, mentor, community member, etc.). 
    2. have the name, email address, job title,  employer, and signature of the recommender.
    3. be no more than one page in length
    4. be uploaded as a .pdf 
70. Official Transcript*

    Provide your official high school transcript; must be uploaded as a .pdf file. Transcript will be used to verify attendance and Mesquite residency.

    [At MISD schools, official transcripts can be obtained from the counseling teams]

Leave This Blank:


72. 1. Receive an email copy of this form.
73. Email address

    This field is not part of the form submission.

74. Submit

* indicates a required field