APPLICATION FOR MEMBERSHIP ON
THE BOARD OF DIRECTORS OF THE
COMMUNITY YOUTH FOUNDATION
The Community Youth Foundation (CYF) is a
component fund of the Muskingum County Community Foundation.
It exists to empower youth and provide financial and human resources to programs and
projects that benefit the youth of Muskingum County. The Directors of the CYF are selected from youthful
applicants interested in their community: all high school freshmen who live in
Muskingum County are eligible to apply to serve on the Board of Directors for a
four-year term.
1. Name: ____________________________________________________________________
2. Address: __________________________________________________________________
3. Telephone: ( _____ ) _____________________ Fax: ( _____ ) _______________________
4. E-mail address: _____________________________________
5. Freshman at: _______________________________________ School
6. Two non-family references whom we may contact about your accomplishments and character:
Name:_____________________________________________________________________
Address: __________________________________________________________________
Telephone: ( _____ ) ______________________
Reference #2:
Name: ____________________________________________________________________
Address: __________________________________________________________________
Telephone: ( _____ ) ______________________
** Please use the reverse side to provide suggestions on how to
improve the quality of life for youth in Muskingum County.
Please return this form to:
Deadline:
October
10,
2003
Dr.
David Mitzel
MCCF
534 Putnam Avenue
Zanesville, OH 43701