Keizer Oregon Official Website

Youth Councilor

The Youth Councilor position is available to sophomore or junior year students who will serve during their junior/senior year respectively. For non-traditional students, selection will be during a school year in which he/she turns 16/17 for service during the school year in which he/she turns 17/18. Term of office will be 9/1 to 6/15.

*First and Last Name

*Phone

*Address

*City, State and Zip Code

*Email Address

*Please write a brief narrative describing your interest, qualifications and what you hope to accomplish in this position. Include your skills, experience, and knowledge that you would contribute to this volunteer position. (Feel free to attach a cover letter, resume, or other helpful information.)

Personal Reference - Please attach a letter of recommendation from a teacher or community leader.

Current Place of Employment: Employer's Name, address & phone and your position

Previous Volunteer Experience: Name & address of Volunteer Agency and your duties

*I understand that I will be required to attend Monday night Council meetings and at least one additional meeting per month with a Councilor (i.e. job shadow). Work sessions are optional but highly encouraged.

Yes

I understand the time commitment and duties involved for the position I am seeking.

Yes

*AUTHORIZATION WAIVER: I have completed the above questions and to the best of my knowledge, what has been stated is true. If appointed to a volunteer position, I agree to serve without reimbursement of any kind and with the understanding and agreement that medical insurance is not provided by the City of Keizer. Volunteers for the City of Keizer are covered under the city’s liability insurance and workers compensation program. As a volunteer applicant, I understand that I may be subject to a criminal records check. I further understand that irrespective of any criminal records check, the City of Keizer may decline my volunteer application or volunteer services at any time. Please type your signature below..

Typed name will be considered a signature

Signature of Parent/Guardian

Typed name will be considered a signature

Reference Letter

Resume

Additional Attachments

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City of Keizer, Oregon

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City Hall
930 Chemawa Rd NE
Keizer, OR 97303
Phone (503) 390-3700

Monday through Friday
8:00 a.m. to 5:00 p.m.
(excluding holidays)

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