Riverton Youth Council Application

Youth Information

I am applying for *

Riverton City Youth Council

Riverton City Youth Council Executive Board

Both

Preferred First Name *

Last Name *

The exact name you would like printed on certificates or accolades you may receive: *

Email Address *

Cell Phone Number *

Street Address *

Address Line 2

City *

Zip Code *

Name of School You Attend *

Grade in School *

Birthday *

Unisex Shirt Size *

How long have you served on the Riverton Youth Council? *

How did you find out about the Riverton Youth Council? *

Which Executive Board position are you most interested in? Please rank positions from most interest to least interest. (Please note that officer positions are determined by tenure on the council and grade in school.) *

	Youth Mayor
	Your Mayor Pro-Tem
	Youth Attorney/Deputy Recorder
	Director of Public Relations
	Service Coordinator
	Hospitality Coordinator
	Community Coordinator

What changes do you think should be made to the Riverton Youth Council? *

What leadership skills do you most strongly exhibit? *

What recommendations do you have to help with recruitment? *

What is a problem you think youth in Riverton struggle with? How do you propose we help with it? *

What ideas do you have for potential service projects the Riverton Youth Council can participate in or organize? *

What is your favorite treat/snack? *

Please list any food or environmental allergies you have:

Please upload one (1) letter of recommendation that supports your application to the Riverton Youth Council. (This could be from a teacher, church leader, club advisor, employer, etc.)

**NOT DUE UNTIL SEPT 30. If you apply after Sept 30 you will have one month after you submit your application to turn in a letter of recommendation.

Please upload one (1) letter of recommendation that supports your application to the Riverton Youth Council Executive Board.

Please upload one (1) letter of recommendation that supports your application to the Riverton Youth Council Executive Board. (This is in addition to the general membership letter of recommendation.)

Please upload a photo of yourself. Headshot prefered.

Parent Information

Name(s) of Parent(s)/Guardian(s) *

Parent/Guardian Email Address: *

Parent/Guardian Cell Phone Number *

Membership Agreement

In order to participate in the Riverton Youth Council, I hereby agree to the following conditions: *

I commit to attend 80% of all meetings.

I commit to attend 50% of all service projects.

I understand that by participating in the Youth Council, Riverton City reserves the right to take and use my photo for marketing purposes.

My parent(s)/guardian(s) have given me their explicit permission to participate in the Riverton Youth Council.

I understand that by submitted this application I am also submitting an application to the Riverton City Youth Court, and that I am not expected to participate unless I choose to do so.

With my signature, I confirm the details on this application are true and correct and that I agree to all of the terms listed above required for membership on the Riverton Youth Council. *

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