Clone of Board or Commission Application

Application to Serve on City Board or Commission

CITY OF WEST CHICAGO
Date *
Name *
Address *
City *
Sate *
Zip *
Email address *
Home/Mobile telephone *
Work telephone
Employer
Job Title
Have you resided in West Chicago for over one (1) year? *

Yes No
I am interested in serving on: *

Building Board of Appeals Civil Service Commission Cultural Arts Commission Historical Preservation Commission Plan Commission & Zoning Board of Appeals Police Pension Board Environmental Commission
Area of expertise: *

Computers Financial Management Pension Fund Land Use Planning Graphics Real Estate Building Construction Engineering Community Groups
Employment background: *
Education background: *
What other qualifications do you feel you have to offer the above referenced board/commission?
Would you be able to attend regularly scheduled meetings? *

Yes No
Should be Empty:

Application to Serve on City Board or Commission