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If you would like to complete and submit a hard copy of this application, please click the link to download the PDF version of this application and submit to the City Secretary's Office.
If Unemployed or Retired, please state your previous employment information.
I hereby affirm that all the information provided within this application is true and accurate to the best of my knowledge, and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application from subsequent appointment
I understand that per Section 2-186(b)(3) of the City's Code of Ordinances, to be eligible to serve on a Board / Commission / Committee, a member may not have been convicted of a felony or crime involving theft or criminal offense considered by the City Council to be a disqualification. Therefore, as part of my application process, I understand and agree that the City is required to conduct a criminal background check on all applicants in order to determine eligibility.
I understand that if I should be appointed to a Board / Commission / Committee, I will be expected to participate actively in
the business of the respective Board / Commission / Committee. I also understand that I will be expected to become
familiar with relevant City Ordinances and review all material relating to decisions to be made and that I may abstain only
I agree to adhere to the attendance requirements of said Board / Commission / Committee
I agree to contact the City Secretary’s Office in the event that there are any changes in my information, as submitted on
I understand that, should a situation arise during my term in said Board / Commission / Committee where I have a
prohibited substantial interest, either direct or indirect, and such matters come before said Board / Commission /
Committee, I understand that I will need to abstain from any discussion or vote on the matter.
I understand that, upon submission to the City Secretary's Office, this application becomes the property of the City and the City reserves the right to accept or reject this application.
By checking the "I agree" box below, you agree and acknowledge that 1) you have read and understand the above terms 2) your application will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.
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