SYC Application

State Youth Council Application

Thank you for your interest in the Georgia National Guard State Youth Council! The State Youth Council consists of volunteer members between the ages of 13-17 years old. The Junior State Youth Council consists of members between the ages of 9-12 years old. In-person meetings are held four times yearly to train, brainstorm, and plan activities that serve to enhance the quality of life for our Guard Youth. Other meetings are held on the zoom platform throughout the year.
The goal of the Georgia National Guard State Youth Council is for Guard Youth to work together in order to identify and define issues that specifically affect them. Our goal is to actively engage Guard Youth in addressing and implementing ways to foster personal growth and enhance the lives of military youth.
Please answer and complete all items in this application. After review of all returned application packets, you will be notified by email of the decision. Please be sure you complete and return all items in order for your application to be processed. If you have any questions regarding the application process, please contact the Child & Youth Director.

Qualifications

Must be between the ages of 13-17 (SYC) or 9-12 (JR SYC)
Maintain high academic standing at school (3.0 GPA or higher) *If your GPA is lower than a 3.0, please fill out application, and we will work with you on a plan to raise your GPA*
Ability to attend quarterly meetings, webinars, and/or conference calls
Must be willing to serve at least one year
Willingness and desire to work with other military youth
Must represent GANG Youth Council at statewide and community events in a professional and positive manner
Strong written and oral communication skills
Ability to work as a team player and actively participate
Must be a positive role model

Section 1: Applicant Information

SYC Applicant's Name *

First

Last

Name You Prefer to Use *

SYC Applicant Email *

SYC Applicant Phone Number *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (If different than home address) *

Line 1

Line 2

City

State

Zip Code

Country

Pick the Council you are Applying For *

Date of Birth (Month/Day/Year) *

Age *

Gender *

Shirt Size *

School Name *

Grade *

Current GPA *

Section II: Parent or Legal Guardian Information

Legal Guardian 1 *

First

Last

Relationship to Applicant *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Legal Guardian 2 *

First

Last

Relationship to Applicant *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Name of Military Member *

First

Last

Unit to which Family Member is Assigned *

Branch of Service *

Section III: State Youth Applicant Question/Answer Section

Why do you want to be part of the State Youth Council? *

List at least three specific skills and unique qualities you can bring to the State Youth Council and describe how these skills/qualities will benefit the Council. *

List extracurricular activities or organizations with which you are involved. What is your role in these activities? *

What is the most important issue facing National Guard Youth? *

What would you like to see the State Youth Council accomplish in the upcoming year? *

Section IV: Code of Conduct

To ensure that the Georgia National Guard State Youth Council is a positive and enjoyable experience for all participants, it is necessary to establish and enforce high standards of behavior. Please read the following and sign below.

I, a representative of the GANG State Youth Council, will uphold the following conduct and behavior standards:

I will be courteous and respectful towards others.
I agree to value and respect others’ ideas, regardless whether they are the same as my own.
I will actively participate in all activities during training sessions.
I will conduct myself in a professional manner at all time.
I will dress appropriately at all times. Revealing clothing or apparel featuring alcohol, tobacco, and other drug messages are prohibited.
I will not use any alcohol, tobacco, or other drugs, or engage in any behavior of a sexual or violent nature at any time during the trainings.
I understand that I will forfeit my position as a GANG State Youth Council member for any misconduct or repeated behavior.

As a representative of the Georgia National Guard Child and Youth Program, I represent not only myself, but the National Guard children and youth throughout Georgia, and I pledge to uphold this commitment. I understand that if I am not able to remain in good standing by attending meetings and activities, I will be asked to leave.

I, the Youth Applicant, consent to the Code of Conduct as written above. *

Consent

Youth Signature *

Date *

I have witnessed the pledge made my son/daughter and will support him/her in carrying out the State Youth Council duties. I understand that if my son/daughter breaks any of the commitments stated in this Code of Conduct, they will be dismissed from the GANG State Youth Council.

Parental Witness Consent *

Consent

Parental Signature *

Date *

Section V: State Youth Council Release

I have reviewed, understand, and agree to the terms of this agreement. I will support my child as he/she supports the National Guard Youth Program. I am willing to allow my child to travel to fulfill all responsibilities of this appointment. In addition, I hold the National Guard Bureau, Family Programs staff, and the National Guard Youth Program harmless from injury or death that could occur as a result of participation in any activity.

Acknowledgment of Release *

Acknowledged

Parental Signature *

Date *

Section VI: Photo Release

I hereby grant the Georgia National Guard the right and permission to use and publish the photographs/video material taken at youth events in order to develop photographic and multimedia materials. These materials may be used to advertise, market, and promote the Youth Program. I understand that identifying information (e.g. name, address, or city) will not be used in this media without my permission.

Photo Acknowledgement *

Acknowledged

Parental Signature *

Date *

Section VII: Medical Release

If your child has allergies, medication needs, or any other medical condition we need to be aware of, please complete the information below. Include all prescription and/or over-the- counter medication. When the youth representative attends symposiums and/or other events all listed material must be in its original container and you must include any items (inhalers, spoons, cups, etc.) needed to properly dispense the medication.

Medical Information that Requires Monitoring *

Allergies (Include all Foods/Medicines) *

Medication (condition, exact name of medicine, dosage, days/times to administer) *

Authorization to Self-Medicate

If your child typically self-medicates, please indicate your permission for him/her to do so while attending the Georgia National Guard Youth Program events.

Choose One *

I authorize my child to self-medicate. I prefer to have an Adult on Staff to hand out and administer medication.

Parental Signature *

Date *

Authorization to Treat

I, the parent/legal guardian of the State Youth Council Applicant Above, authorize and consent to medical, surgical, hospital care, treatment and procedures to be deemed immediately necessary or advisable by a physician to safeguard my child’s health during Georgia National Guard Youth Programs. I waive my rights of informed consent to such treatment. I also authorize a copy of this consent to be treated with the same authority as the original one.

Consent to Treat *

Consent

Parental Signature *

Date *

Section VIII: Consent to Participate

Youth Consent

I have read and understand all of the requirements for membership of the State Youth Council. I am prepared to accept responsibility of active membership and the obligations required to fulfill the duties of my membership.

Youth Signature *

Date *

Parental Consent

I hereby give my consent for my child to seek the voluntary position of representative on the Georgia National Guard State Youth Council. I have read and understand all of the requirements for membership of the State Youth Council.
I give my permission for the following information for my youth to be shared with fellow State Youth Council Members:

-Name
-Address
-Telephone Number
-Email

I understand that transportation to and from events will be the responsibility of the delegate or guardian.

Parental Signature *

Date *

Section IX: State Youth Council Recommendation Form

Applicant: Please include the information of a trusted adult not related to you, who you think can speak to your strengths (e.g. teacher, coach, principal, or counselor). By including this person's information you have approved and consented with them that we may contact them by email within the next five days for a recommendation statement.

Recommender's Name *

First

Last

Email *

Relationship to Applicant *

You did it! Hit complete below and we will contact you within the next five days with the status of your application.

Submit

Apply to the Georgia National Guard State Youth Council

State Youth Council Application

Section 1: Applicant Information

Section II: Parent or Legal Guardian Information

Section III: State Youth Applicant Question/Answer Section

Section IV: Code of Conduct

Section V: State Youth Council Release

Section VI: Photo Release

Section VII: Medical Release

Authorization to Self-Medicate

Authorization to Treat

Section VIII: Consent to Participate

Youth Consent

Parental Consent

Section IX: State Youth Council Recommendation Form

You did it! Hit complete below and we will contact you within the next five days with the status of your application.