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Volunteer Application Page 1 of 2 CITY OF DOUGLAS Volunteer Application 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? Yes No (This is a requirement for Planning & Zoning Commission/Board of Adjustments/Douglas Renewal Agency only.) 2. I am interested in serving on the following Boards/Commissions (Please all that apply): Boards/Commissions/Committees: Douglas Planning & Zoning Commission/Board of Adjustments Historic Preservation Commission Converse County Tourism Promotion Board Douglas Housing Authority Board Federal Urban Systems Advisory Committee Douglas Board of Appeals Steering Committee Member (when applicable) Focus Group Member (when applicable) Douglas Urban Renewal Agency Other: 3. Have you served on any of these Boards/Commissions previously? Yes No 4. If “Yes”, please indicate which Boards/Commissions and when you served: 5. In what community/communities did you previously serve? 6. In what position(s) would you be willing to serve? (Please select all that apply.) Chairperson Vice Chairperson Secretary Treasurer Board, Commission, or Committee member only ---PAGE BREAK--- Volunteer Application Page 2 of 2 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? Yes 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: SIGN ---PAGE BREAK--- URA Applicant Questionnaire 04/24/2025 Page 1 Urban Renewal Agency Applicant Questionnaire 101 N. 4th Street / P. O. Box 1030 Douglas, Wyoming 82633 [PHONE REDACTED], Fax: [PHONE REDACTED] Name of Applicant: This questionnaire will be utilized by the City Council in their selection process for the City of Douglas Urban Renewal Agency. Please answer as honestly and fully as possible. Feel free to use additional pages if needed. 1) What is your vision for revitalization in Douglas, and how do you believe urban renewal can contribute to the city’s long-term success? 2) What experience or perspective do you bring that would support the mission of the Urban Renewal Agency? 3) What interests you most about serving on the Urban Renewal Agency, and what do you hope to contribute during your term? ---PAGE BREAK--- URA Applicant Questionnaire 04/24/2025 Page 2 4) Serving on this board will require periodic meetings, preparation time to review planning documents, studies and financial materials, and a commitment to ongoing learning. Are you able to dedicate the time and attention needed to participate fully and thoughtfully in this role? 5) Have you reviewed Wyoming’s Urban Renewal Code (W.S. § 15-9-101 to 15-9-139), and are you comfortable serving on this board? Staff Comments: Staff Recommendation: