Action Center / Application Form for Boards, Commissions, Committees / Boone, IA

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This form assists the City Council in evaluating the qualifications of applicants for appointment to a board, commission or committee. State law requires political subdivisions to make a good faith effort to balance appointive boards, commissions, committees, and councils authorized by the Code of Iowa according to gender by January 1, 2013, and each year thereafter.

* Denotes a required field

Contact Information

Name*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Email Address*

Please Do Not Complete The Following Field

Gender*

Female

Male

Please list your place of employment or activities that you feel may qualify you for this appointment*

Please describe why you are interested in serving for this Board or Commission*

Include any other information that supports your interest*

What contributions do you feel you can make*

In lieu of or in addition to the above, are you interested in serving on any other board, commission, or committee? Please indicate which one(s)*

Please provide two references name, address, phone number, email address, and relationship who may be contacted on your qualifications*

Application for: (complete one form for each board, commission, committee you wish to apply for)*

Please click submit when finished.

Captcha Verification*

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The City of Boone, Iowa

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Application Form for Boards, Commissions, Committees

Contact Information

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