Application for Citizen Boards & Committees

2. Appointments to citizen boards & committees are governed by Article III, Sec. 2-114 Code of Ordinances. Applications are kept on file for three years.

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. Name of Board / Committee:*
18. Why are you interested in serving on this board / committee?*
20. Please list your qualifications for serving on this board / committee:*
22. Today's Date:*
    Today's Date:
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field