[Logo or Letterhead]

City Board Application Form

[Date]

Applicant Information:
Full Name: [Full Name]
Address: [Street Address, City, State, Zip Code]
Phone Number: [Phone Number]
Email Address: [Email Address]

Board Position:
Board or Commission Applying For: [Name of Board or Commission]
Position Applying For: [Specify Position if Applicable]

Qualifications and Experience:
Please provide a brief overview of your qualifications, experience, and relevant skills that make you suitable for the board or commission:

[Enter text here]

Motivation:
Please describe why you are interested in serving on the board or commission and what you hope to contribute:

[Enter text here]

Availability:
Please indicate your availability for meetings and commitments related to the board or commission:

[Enter availability here]

References:
Please provide contact information for two references who can speak to your qualifications and suitability for the board or commission:

1. Name: [Reference Name]
Relationship: [Relationship to Applicant]
Phone Number: [Phone Number]
Email Address: [Email Address]

2. Name: [Reference Name]
Relationship: [Relationship to Applicant]
Phone Number: [Phone Number]
Email Address: [Email Address]

Declaration:
I hereby certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false statements or misrepresentations may result in the rejection of my application.

Signature: ___________________________ Date: _______________

Please submit the completed application form along with any required documentation to the [City Clerk’s Office or relevant department]. If you have any questions or require assistance, please contact our office at [Contact Information].

[Signature]

[Name]
[Title]
[Organization Name]