Complete and submit an online form to apply to be on the Youth Council.

Selwyn Youth Council - Application Form

If you require any assistance with completing this online form, the Selwyn Libraries team are available to help you complete or access it online at your local library.

To be eligible to apply you must:

  • Be between 12 - 24 years old at the start of the school year
  • Live within the boundaries of the Selwyn District
  • Be available to attend meetings and events across Selwyn
  • Have the ability to work with other people and as part of team

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Full Name
Age (12-24)
Home Phone:
Mobile Phone:
Email:
Address:
Town:
Postcode:

What do you do?


What are your skills, interests, or passions?
(Max. 3,000 characters)

Select 4 options below that most align with your interests:

Why do you want to join the Selwyn Youth Council?
(Max. 3,000 characters)

Tell us something you have done that you are proud of:
(Max. 3,000 characters)

The Selwyn Youth Council has 4 values:

  1. Be a good human
  2. Be brave, think differently
  3. Better together
  4. We make it happen for Selwyn

You can read more about these in the Terms of Reference.

Which one of these values do you most identify with and why?
(Max. 3,000 characters)

What days and times are you available for youth council meetings? Note down your availability below.
(Max. 3,000 characters)

Photo: Upload a photo of yourself to add to this application. If you’re selected, we will use this photo to introduce you on the youth council page in 2023: selwyn.govt.nz/youth-council


(Format: JPG, TIFF or PNG, maximum 5MB)

Optional: Upload a 30 second video clip about why you'd be a great youth council member. Be as creative as you like!


(Format: MP4, MOV, WMV, or AVI, maximum 10MB)

If you are selected for the Selwyn Youth Council and aged 16 years or over, we will require a Police Safety Check to be completed. Please tick the below box to confirm you are happy to go ahead with this.

Please confirm

Privacy statement

The personal information you provide in this form will be collected, held and protected by Selwyn District Council in accordance with our Privacy Policy and the Privacy Act 2020. Our Privacy Policy explains how we use and share personal information in relation to any interaction you have with Council, and how you can access or correct your information at any time.

You can read the full policy at selwyn.govt.nz/privacy.

We will use the email address you provide to send communications directly related to this form or application. By submitting this form, you consent to receive those communications by email. If you require a hard copy, please email ContactUs@selwyn.govt.nz, visit our Service Desk Team or call 0800 SELWYN (735 996).