Riverton Youth Council Application
Youth Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of School You Attend
*
Grade in School
*
Please Select
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Date of Birth
*
-
Month
-
Day
Year
Date
Unisex Shirt Size
*
Please Select
S
M
L
XL
XXL
How did you find out about the Riverton Youth Council?
*
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.)
*
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**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.
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of
Please upload a photo of yourself. Headshot preferred.
*
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Parent Information
Name of Parent / Guardian
*
First Name
Last Name
Email of Parent / Guardian
*
example@example.com
Phone of Parent / Guardian
*
Please enter a valid phone number.
Format: (000) 000-0000.
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.
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