Application to be Appointed to Board or Commission


Today's date:

Mailing address:
City: State: Zip:
Work phone: Home phone: E-mail:

Which boards or commissions would you like to be considered for?

Briefly state why you would like to be on this panel:

How many hours per month could you volunteer as a panel member?

Please list any past experience you have with city government here or in other cities:

Please describe any professional experience you have related to the responsibilities of the panel you are interested in:

If you have a resume you would like to submit, please paste it below.

We will retain your application for three years and consider you for the board you have indicated interest in when a vacancy arises.