Farr West City Youth Council Application

Farr West Youth Council is accepting applications from local youth, grades 8-12, interested in leadership, service, and community involvement. Applicants will be contacted after submitting this form regarding next steps in the selection process. If you have any questions please contact David Jay at david.jay@farrwestcity.gov or 801-393-4888

First Name

Your answer

Last Name

Your answer

Address

Street

City

Your answer

State

Select state

Zip

84404

Your email

Phone

Your phone

Date of Birth

Select date

School You Attend

Your answer

What Grade Are You In?

Your answer

Parent/Guardian Name

Your answer

Parent/Guardian Phone

Your phone

Parent/Guardian Email

Your email

Parent/Guardian Address (if different than yours)

Your answer

Availability

Yes

Are you generally available to attend monthly evening meetings and occasional service events?

Talents/Skills

Your answer

Hobbies/Interest

Your answer

Extracurricular activities you have participated in. Clubs, Sports, Classes, Etc.

Your answer

Community Involvement:

Your answer

List all the ways you've been involved with the communities where you have lived.

Why do you want to serve on the Farr West Youth Council and what is one idea you have to improve Farr West for youth?

Your answer

References

Your answer

List at least one adult reference. Name and phone number of adult outside your family... neighbor, coach, teacher, mentor, etc..