Boards & Commissions Application
I am interested in serving on the:
*
Contact Name:
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Nominated by:
First Name
Last Name
Are you a city resident?
*
Yes
No
If yes, how long?
List any previous city appointments or offices:
*
List relevant affiliations or activities that you feel would be a benefit to this position:
*
Why are you interested on serving on this city board or commission?
*
Are you aware of the meeting schedule for this board or commission?
*
Yes
No
Are you available to attend regularly scheduled meetings for this board or commission?
*
Yes
No
Applicant's Signature
*
Submit
Should be Empty: