Public Service Application

Special Note:  All questions must be answered.  Enter N/A if not applicable.

Contact Information
Please include address, city, state, & zip code.
Employer Information
Public Service Information
Please leave this field blank if you haven't attended a meeting yet.
Do you have any monetary interest, direct or indirect to any pending or incomplete transaction or contract to which the city is, or is to be, a party?
Does your spouse have any monetary interest, direct or indirect, in any pending or incomplete transaction or contract to which the city is, or is to be, a party?
Agreement

I have read the attached Resolution No. 99-1127 establishing appointment guidelines and attendance policy. I understand that if my attendance falls below two-thirds of the regular or special meetings held within the twelve-month period following my appointment or the anniversary date of my appointment, the City Council may remove and replace me.

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
11 + 9 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.