TAC Application

TAC APPLICATION

Thank you for your interest in participating on the Knox County Teen Advisory Council!

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School

Email Address

Phone

(###)

###

####

What do you hope to learn from your experience on the TAC?

What skills, abilities, or interests would you bring to the TAC?

Share your perspective on one of the following:

1. A challenge you have faced in your life and how you overcame it. 2. An accomplishment or goal you set for yourself that brings you personal pride. 3. A personal statement about yourself and what makes you unique.

Birthday

YYYY