Full Text
Volunteer Application Return to: 101 N. 4th Street / P.O. Box 1030 Douglas, WY 82633 [PHONE REDACTED], Fax: [PHONE REDACTED] Volunteer Application Page 1 of 2 I:\COMDOC\City Clerk\Boards & Commissions\Applications, Forms, Misc Docs & Lists\20230503 Application for Boards and Commissions.doc Name of Applicant: Address: City/State/Zip: Mailing Address (if different from above): Home Phone: Cell Phone: Work Phone: Email: 1. Are you a resident of the City of Douglas? q Yes q No 2. I am interested in serving on the following Boards/Commissions (Please all that apply): Boards/Commissions/Committees: q Douglas Planning & Zoning Commission/Board of Adjustments q Historic Preservation Commission q Converse County Tourism Promotion Board q Douglas Housing Authority Board q Federal Urban Systems Advisory Committee q Douglas Board of Appeals q Steering Committee Member (when applicable) q Focus Group Member (when applicable) q Community Facility Task Force q Arts & Culture Board of Trustees q Recycling Task Force q Other: 3. Have you served on any of these Boards/Commissions previously? q Yes q No 4. If “Yes”, please indicate which Boards/Commissions and when you served: 5. In what community/communities did you previously serve? ---PAGE BREAK--- Volunteer Application Return to: 101 N. 4th Street / P.O. Box 1030 Douglas, WY 82633 [PHONE REDACTED], Fax: [PHONE REDACTED] Volunteer Application Page 2 of 2 I:\COMDOC\City Clerk\Boards & Commissions\Applications, Forms, Misc Docs & Lists\20230503 Application for Boards and Commissions.doc 6. In what position(s) would you be willing to serve? (Please select all that apply.) q Chairperson q Vice Chairperson q Secretary q Treasurer q Board, Commission, or Committee member only 7. Do you understand the attendance requirements as provided per Douglas Municipal Code and/or the Bylaws of the Board or Commission you wish to serve on? q Yesq No 8. If “No”, please provide a description of your question(s): 9. Why are you seeking this appointment(s)? Signature of Applicant Date For Office Use Only: Selected for: Length of Term/Dates: Additional Information: