Boards and Commissions Application

2. First Name*

3. Last Name*

5. Home/Residential Address*

   Your home/residential/physical address

7. City*

8. State*

9. Zip*

11. Business/Mailing Address

13. City

14. State

15. Zip

17. Email*

18. Cell Phone*

19. Home Phone

21. click here for a description of each Board and Commission and their function

23. I want to apply to serve on the following Boards and Commissions:*

    1. Appearance Review Committee
    2. Board of Adjustment
    3. Charter Review Commission
    4. CDBG Advisory Committee
    5. Development Advisory Committee
    6. Downtown Review Board
    7. Economic Development Council
    8. Historic Preservation Commission
    9. Human Relations Commission
    10. Industrial Development Authority
    11. Park Commission
    12. Planning Commission
    13. Public Art Commission
    14. Public Safety Citizens' Advisory Board
    15. Solid Waste Management Commission
    16. Technical Review Committee
    17. TIF Commission

25. My strenghts for serving on the Board/Commission will be:*

27. Education*

    High School, City, State, Dates attended

29. College/University

    Institution, Degree, Dates attended

31. Post Graduate

    Institution, Degree, Dates attended

33. Current Employment*

    Current Employer, Address, Position, Dates of Employment

35. Past Employment

    Past Employer(s), Address, Position, Dates of Employment

37. Community Involvement*

    Organization, Position(s), Membership Date(s)

39. Conflict of Interests*

    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.

Leave This Blank:


40. 1. Receive email copy
41. Email address

    This field is not part of the form submission.

42. Submit

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