Form Center

2. I am interested in serving on the following committee(s):

   1. Any Board/Committee
   2. Beautification Committee
   3. Board of Adjustment

   1. Civil Service Board
   2. Fire Board
   3. Park Board

   1. Planning & Zoning Commission
   2. Police Board
   3. Public Works Board
4. First Name
5. Last Name
7. Ward
9. Full Address
11. Home Phone
12. Fax Number
14. Email
15. Preferred Method of Contact

    1. Email
    2. Fax
    3. Mail
    4. Phone
17. If you are representing a business, please fill out the following.
19. Business Name
20. Your Title/Position
22. Business Address
23. Business Phone
25. Please list any community volunteer experience you have had.
27. Have you previously served on a City board or commission? If yes, please state the board or commission(s) and your dates of service.
29. Professional & Employment Background
31. Educational Background
33. Please state briefly why you wish to be considered for a City volunteer commission and what you would hope to accomplish if appointed.
35. Would your service on a City commission be a conflict of interest for you?
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field