Skip to form

Mayor's Office

mayor@pocatello.us

911 N 7th Ave, Pocatello, Idaho 83201

208-234-6163

Document Signers
    • 1 Youth Applicant

    • 2 Parent/Guardian

SeamlessDocs

Pocatello/Chubbuck Mayor's Youth Advisory Council Application

Thank you for applying to the Pocatello/Chubbuck Mayor's Youth Advisory Council. Please complete the form that follows and sign it electronically. After signing, you will be asked for your parent's or guardian's name and e-mail address so that the system can request his or her electronic signature.

Teacher Recommendations

Your Youth Advisory Council application is not complete without two (2) teacher recommendations.  You are welcome to send the link below to the two teachers you have asked to provide recommendations for you, or you can print hardcopies of the teacher recommendation form and distribute them to the two teachers.

Please check that you agree before continuing.
I understand that I need to obtain two (2) teacher recommendations.
Signature HereClick to Sign
09/21/2020Click to Sign
Signature HereParent/Guardian Will Sign Here
09/21/2020
Signature HereParent/Guardian Will Sign Here
Signature HereClick to Sign
09/21/2020Click to Sign
09/21/2020

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required