Forms • Moscow, ID • CivicEngage

Mayor's Youth Advisory Council Application

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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

If yes, which:

Have you served as a Volunteer or on a Board, Commission, or Committee before?*

Yes

If yes, which:

Please list organization memberships and positions held:

Please List Areas of Special Interest*

* indicates required fields.