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Mayor's Youth Advisory Council Application
Leave This Blank:
Please complete the online form below.
Personal Information
Name:
*
Home Address:
*
City:
*
State:
*
Zip Code:
*
Home Phone Number:
*
Cell Phone Number:
*
Email Address:
*
I agree to monitoring and communicating using the email address regularly.
*
Yes
Residency Information
Length of Residency in Moscow, Idaho:
*
Education and Hobbies
High School:
*
Expected year of graduation:
*
Hobbies:
*
Organization Membership Information
Please note which level you'd like to apply for:
*
Council Member (10th through 12th Grades)
General Member (9th through 12th Grades)
Are you currently serving on other Boards, Commissions, or Committees?
*
Yes
No
If yes, which:
Have you served as a Volunteer or on a Board, Commission, or Committee before?
*
Yes
No
If yes, which:
Please list organization memberships and positions held:
Please List Areas of Special Interest
*
* indicates required fields.
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