Advisory Board or Commission Application

2. I am interested in the following Board(s)/Commission(s):*

   1. Civil Service Commission
   2. Lodging Tax Advisory Committee

   1. Housing Authority
   2. Planning Commission

   1. Salary Commission
   2. Parks & Recreation Commission

   1. Arts Commission
   2. Municipal Airport Advisory Board

4. PERSONAL INFORMATION

6. First Name*

7. Last Name*

9. Telephone: Home/Cell*

10. Telephone: Work

12. Address1*

14. Address2

16. City*

17. State*

18. Zip*

20. Email

21. Length of Residency*

23. Availability*

    1. Day

    1. Evening

    1. Anytime

25. PROFESSIONAL AND/OR PERSONAL REFERENCES

27. Name

28. Position

30. Phone Number

32. Address1

34. Address2

36. City

37. State

38. Zip

40. Name

41. Position

43. Phone Number

45. Address1

47. Address2

49. City

50. State

51. Zip

53. EDUCATION AND TRAINING COURSES
    List below past education and training courses, with the most current education listed first.

    List below past education and training courses, with the most current education listed first.

55. Institution

57. Dates Attended (Mo/Yr)

58. From:

59. To:

61. Course of Study

63. Degree

65. Institution

67. Dates Attended (Mo/Yr)

68. From:

69. To:

71. Course of Study

73. Degree

75. SUPPLEMENTAL QUESTIONS
    Please respond, in your own words, to the following questions.

    Please respond, in your own words, to the following questions.

77. 1. Why are you seeking appointment to this particular board or commission?

79. 2. What special skills, knowledge, experience and/or talent do you have to contribute to this particular board or commission?

81. 3. What community activities have you participated in during the past five years?

83. 4. Please provide brief background information including job experience, hobbies and special areas of interest.

85. 5. Have you previously served on one of our boards or commissions?

    1. Yes
    2. No

87. Please attach resume to this application.

    A letter of interest is optional

89. Please be advised that this application or information in this application may be subject to disclosure to other governmental agencies, or to the public pursuant to request under the Public Disclosure Act (RCW 42.56).

    Please be advised that this application or information in this application may be subject to disclosure to other governmental agencies, or to the public pursuant to request under the Public Disclosure Act (RCW 42.56).

Leave This Blank:


90. 1. Receive an email copy of this form.
91. Email address

    This field is not part of the form submission.

92. Submit

* indicates a required field