CITY OF PORTLAND

BOARD AND COMMISSION

APPLICATION

The Mayor and City Council appreciate your willingness to serve the City of Portland.  The purpose of this application form is to provide the Mayor and City Council with information about residents who wish to be considered for appointment to a City Board or Commission.  This information will be used by the Mayor and City Council to evaluate candidates.  This information is also available for public review.

Please print your responses                                                    Date                                    

Name                                                                         

Address                                                                    

Telephone No.                                                          

E-mail address_______________________________

Employer                                                                    Telephone No.                                     

How long have you lived in the City of Portland?                                              

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Please mark your choice(s).  If you mark more than one, rank your choices by number, with 1 being your first choice, 2 being your second choice, etc.

        Board of Review

        Building Board of Appeals

        Downtown Development Authority

        Light and Power Board

        District Library Board

        Parks & Recreation Board

        Planning Commission

        Portland Area Municipal Authority

        Tree Management Commission

        Zoning Board of Appeals

Please tell us about your qualifications.  You may respond on a separate sheet of paper.  You may also include other information, such as a resume, if you wish.

Education

Are you a high school graduate?                           

College, University, or other school.  State name and degree, certificate, etc., earned.

Professional and work experience

Community activities, interests, and service

References (optional)           Please provide name, address, and telephone number.