City of Scottsdale

Scottsdale Boards and Commissions Application

Note: This application, and all information you provide, may be viewed by the public upon request.

Select Board or Commission

Choice of Board or Commission: Please read the description for the board or commission that you are interested in serving below. Only one application may be submitted for one board or commission. An application supplement is required for the following boards or commissions: Building Advisory Board of Appeals, Development Review Board, Environmental Quality Advisory Board, Historic Preservation Commission, Judicial Appointments Advisory Board and Tourism Development Commission.

Board or Commission:

Contact Information

Name

Business / Organization Name (if applicable)

Preferred Mailing Address

City

State

Zipcode

Preferred Phone Number (include area code)

Preferred E-mail

Scottsdale Residency

Most boards and commissions require Scottsdale residency.

I am a resident of Scottsdale

If so, for how many years

Home Address (required and will be used to verify Scottsdale residency))

Interest and Qualifications

Why do you want to serve on this board or commission?

Briefly describe how your experiences, educational, professional or volunteer, qualify you to serve on the board or commission for which you have applied.

What do you think is the top issue facing the board or commission, and what approach would you take to address the issue?

Employment History (most recent three jobs only)

Dates Company Name and Location Position Job Description

Education History (most recent three schools only)

Educational Institution Degree(s) Received Area(s) of Study

Supplemental Information

Additional Information:
If you would like to explain or elaborate on the experiences or professional qualifications you have checked, please use this space:

Document Attachments (optional)

Truth and Accuracy

I certify that the information contained in this form is accurate to the best of my knowledge.

Signature

Date