Important Notice:

The City Council may consider appointments to boards and commissions in executive sessions which are closed to the public, and then make the appointments in a public meeting. You have the right, however, to have your application considered in a public meeting by providing a written request to the City Clerk.

Application to Serve on a Board/Commission

Please note that this information is public information.

Date:*

Board/Commission you wish to serve on (please select from dropdown list):*

Airport Commission Audit Committee Beautification and Public Art Commission Board of Adjustment Building and Fire Code Board of Appeals Charter Review Committee Citizens Commission on Council Salaries Commission on Diversity Awareness Commission on Inclusion and Adaptive Living Flagstaff Housing Authority Heritage Preservation Commission Housing Commission Industrial Development Authority Indigenous Commission Library Board (Mountain Line) NAIPTA TAC Open Space Commission Parks and Recreation Commission Personnel Board Planning and Zoning Commission Public Safety Personnel Retirement System Self-Insurance Trust Fund Board Sustainability Commission Transportation Commission Tourism Commission Bicycle Advisory Committee Pedestrian Advisory Committee Water Commission

If applicable, type of seat for which you are qualified:

Not Applicable Resident Member (Flagstaff Housing Authority) Non-Resident Member (Flagstaff Housing Authority) At-Large Member (Heritage Preservation Commission) Professional (Heritage Preservation Commission) Historic Property Owner (Heritage Preservation Commission) Building and Real Estate Professional - Builder (Housing Commission) Building and Real Estate Professional - Developer (Housing Commission) Building and Real Estate Professional - Architect (Housing Commission) Building and Real Estate Professional - Land Use Expert (Housing Commission) Building and Real Estate Professional - Realtor (Housing Commission) Building and Real Estate Professional - Lender (Housing Commission) Building and Real Estate Professional - Residential Property Management (Housing Commission) Building and Real Estate Professional - Other (Housing Commission) Low Income Housing Expert - Housing Nonprofit (Housing Commission) Low Income Housing Expert - Low Income Representative (Housing Commission) Low Income Housing Expert - FHA Member (Housing Commission) Low Income Housing Expert - Other (Housing Commission) Community Representative (Housing Commission) PD Employee Member (PSPRS) FD Employee Member (PSPRS) Citizen Member (PSPRS) School Representative (Transportation Commission) NAIPTA Representative (Transportation Commission) Ex-Officio IPAC (Indigenous Commission) At-Large HR Representative

Your Information

Name:*

Home Phone:

Home Address:*

Zip:*

Mailing Address (If different from above):

Employer:*

Job Title:*

Business Phone:

Cell:

E-mail:*

Indicate preferred telephone:*

Home Work

Cell

Please indicate age group:*

18-34 35-54

55+

Please indicate education:*

High School College

Post Graduate

Number of years living in the Flagstaff area:*

Background Information

Please explain how your community activities and other relevant experience/interests are applicable to this board or commission.*

Why do you want to serve on the board or commission you listed?*

If applying to the Indigenous Commission, you must be an enrolled member of a federally or state recognized tribal nation. Please indicate which Indigenous nation and what is your enrollment number?

By submitting this electronic form, I acknowledge that any information provided above is public information, and I certify that I meet the City Charter requirement of living within the Flagstaff City limits and have read and understand the right to have my application considered in a public meeting.

Please note that all board and commission meetings are public and may be streamed.