House Page Endorsement Application – Idaho State Legislature

House of Representatives

Page Endorsement Application

Name(Required)

First Last

Date of Birth(Required)

Email(Required)

Home Phone(Required)

Cell Phone(Required)

Father's Name

First Last

Mother's Name

First Last

Home Address(Required)

Street Address City State ZIP / Postal Code

Legislative District No.(Required)

County(Required)

Are you related to any person currently serving in the Legislature?(Required)

Yes

If so, whom?(Required)

Did you work on any campaign in the last election?(Required)

Yes

High School(Required)

Graduation Date(Required)

NOTE: You must be currently enrolled as a SENIOR with a maximum age of 19 and minimum age of 17.

Principal's Name(Required)

First Last

Phone(Required)

School Address(Required)

Street Address City State ZIP / Postal Code

Work History

Click the plus sign to the right of the row to add another entry.

From

Name of Employer

Employer Address

Position Held

Reason for Leaving

If selected, which six weeks session would you prefer?(Required)

First

Second

Either

File

NOTE: Please attach a letter of permission from your high school principal. This letter will verify that you are excused from class attendance while serving as a Page. Also, please attach a letter stating why you are interested in serving as a page, listing your qualifications and committees you are interested in assisting.

Max. file size: 8 MB.

Signature of Applicant:(Required)

Date(Required)

House of Representatives Page Endorsement Application

House of Representatives

Page Endorsement Application