2025 Youth Council Application

We're thrilled that you're here and ready to make a difference. This application is your opportunity to showcase your passion, ideas, and commitment to civic engagement. We believe that every young person has the potential to be a powerful force for change, and we're excited to hear how you envision contributing to our community.

We're looking for students who are eager to inspire and embrace their unique perspectives. No matter your background or experience, we value your authenticity and the fresh ideas you bring to the table.

Thank you for taking the first step and joining us on this exciting journey!

Mayor Dustin Gettel

First Name

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Last Name

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Address

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Cell

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Phone

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School (As of Fall 2025)

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Hillcrest High School

Jordan High School

Other (please specify)

Grade (As of Fall 2025)

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9th

10th

11th

12th

How did you hear about the Youth Council program?

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Neighbor/Friend

Family

City's website

Newspaper

School

Social Media

Other (please specify)

10.

Best way to contact you

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Call

Text

11.

In a few sentences, why do you want to become a Youth Council member?

* required

12.

I understand that Youth Council members meet on the 2nd and 4th Tuesday of the month, from 3:30 p.m. to 5:00 p.m. at Midvale City Hall (7505 S Holden Street, Midvale), from October through April.

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Yes

Other (please specify)

13.

In a few sentences, what are the three most important issues to you concerning your community?

* required

PHOTO/VIDEO CONSTENT AND RELEASE

By digitally signing this form, I grant Midvale City the right to take, use, reproduce, and publish photographs, videos, or other digital media of me (my student) for promotional, educational, or marketing purposes. This may include, but is not limited to, use in brochures, social media, websites, presentations, and other media outlets.

I understand that:

My (my student's) participation is voluntary.
I (my student) will not receive any compensation for the use of these images.
I (my student) release Midvale City from any claims or liability arising from the use of the photographs or videos.

As part of the Midvale City Youth Council, participant information such as name, school, and grade may be shared in public-facing materials including display pedestals, social media, the local newspaper, and other council media. Families will receive notification prior to any publication as a reminder and notification of this disclosure. Emergency contact, phone number, address, and any similar information will remain private and pertinent information will be shared with City officials and safety authorities, if needed in emergencies and/or natural disasters. Any other information will only be released with the permission of the participant and their legal guardian.

14.

Student's consent

* required

I consent to the use of photos/videos of me as described above.

I do NOT consent to the use of photos/videos of me.

15.

Parent/Guardian's Consent

* required

I consent to the use of photos/videos of my student as described above.

I do NOT consent to the use of photos/videos of my student.

N/A Student is 18 or older and answered the question above.

16.

Students Signature (By typing my name below, I acknowledge that this serves as my signature, affirming that all the information provided in this online application is true and accurate to the best of my knowledge.)

* required

Maximum 255 characters

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17.

Parent/Guardian's Signature, if the student is under 18 (By typing my name below, I acknowledge that this serves as my signature, affirming that all the information provided in this online application is true and accurate to the best of my knowledge. I give my student permission to participate in the Youth Council program.)

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