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Boards and Commissions Application

  1. Members of City Boards and Commissions shall receive no compensation for the performance of their duties.

    Former City Employees will not be eligible for appointment to a City Board until two years after their separation from City employment.

  2. Your home/residential/physical address

  3. I want to apply to serve on the following Boards and Commissions:*
  4. High School, City, State, Dates attended
  5. Institution, Degree, Dates attended
  6. Institution, Degree, Dates attended
  7. Current Employer, Position, Dates of Employment

  8. Past Employer(s), Address, Position, Dates of Employment
  9. Organization, Position(s), Membership Date(s)
  10. Do you have business or property interests that might place you in a conflict of interest situation should you be appointed to this Board/Commission? If so, please explain.
  11. Leave This Blank:

  12. This field is not part of the form submission.