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BCYC Application
BCYC Application
All applicants must submit 2 letters of recommendation.
Applicant Name
*
(First, Middle, Last)
Date of Birth
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Applicant Email
*
johndoe@example.com
Phone Number
*
(410)-555-0123
Current Address
*
1234 Anywhere Street Baltimore, MD 21201
Council District
*
- Select -
District 1
District 2
District 3
District 4
District 5
District 6
District 7
District 8
District 9
District 10
District 11
District 12
District 13
District 14
Please select the Council District in which you live.
Council Member
*
- Select -
Zeke Cohen
Brandon M. Scott
Ryan Dorsey
Bill Henry
Isaac "Yitzy" Schleifer
Sharon Green Middleton
Leon F. Pinkett, III
Kristerfer Burnett
John T. Bullock
Edward Reisinger
Eric Costello
Robert Stokes, Sr.
Shannon Sneed
Mary Pat Clarke
Please select the name of your Council Person.
Current Employer/Volunteer Placement
*
Please list your current/recent employer or volunteer placement. Use the format listed in the example below.
High School Information
*
Central High School, Culinary Arts, 2013
College/Trade School Information
Please list the name of any post-secondary education as shown above.
References
*
Please list your references as shown above.
Applicant Essay
*
Tell Us About You: An essay explaining why you should serve on the commission (be sure to include prior community service activities, leadership, and civic activities).
Optional Applicant Essay Upload
Upload
If you prefer, you can upload your applicant essay.
Files must be less than
10 MB
.
Allowed file types:
pdf doc docx
.
Optional Applicant Letter of Recommendation Upload
Upload
If you prefer, you can upload your applicant essay.
Files must be less than
2 MB
.
Allowed file types:
pdf doc docx
.
Leave this field blank
Submit