2. Name*
4. Address*
6. City*
7. State*
8. Zip*
10. Phone:(Home)*
11. Phone: (Work/Cell)
13. Email:
15. PLEASE INDICATE HTE BOARD(S) AND COMMISSION(S) ON WHICH YOU WOULD LIKE TO SERVE.
17. Boards/Commissions*

    1. Airport Advisory Board
    2. Arts Commission
    3. Board of Examiners for Mechanical Installers
    4. Building Advisory Board
    5. Civil Service Board
    6. Convention Center Advisory Board
    7. Economic Development Authority
    8. Health & Housing Advisory and Appeals Committee
    9. Heritage Preservation Commission
    10. Housing & Redevelopment Authority Board
    11. Park & Recreation Board
    12. Planning Commission
    13. Plumbing Board
    14. Police Citizen Review Board
    15. St. Cloud Regional Human Rights Commission
    16. Retired & Senior Volunteer Advisory Board
    17. St. Cloud Public Library Board
    18. Transportation Infrastructure Advisory Committee
    19. Whitney Senior Center Advisory Board
    20. Zoning Board of Appeals
19. 
    
21. PLEASE TELL US WHY YOU ARE INTERESTED IN APPLYING.
23. 
    
25. PLEASE TELL US ABOUT YOUR WORK EXPERIENCES.
27. 
    
29. PLEASE TELL US ABOUT ANY PRIOR OR CURRENT CIVIC INVOLVEMENT.
31. 
    
33. PLEASE TELL US ABOUT YOUR EDUCATIONAL EXPERIENCES.
35. 
    
37. PLEASE TELL US ABOUT ANY "LIFE EXPERIENCES" THAT MAY HELP YOU FULFILL A BOARD OR COMMISSION POSITION.
39. 
    
41. PLEASE TELL US WHAT TIME COMMITMENT YOU CAN PROVIDE YOUR BOARD OR COMMISSION BEYOND REGULAR MEETINGS.
43. 
    
45. PLEASE TELL US WHAT YOU THINK YOU CAN CONTRIBUTE.
47. 
    
49. USE THIS SPACE TO PROVIDE ANY ADDITIONAL INFORMATION.
51. BY ACCEPTING THIS APPOINTMENT, I AGREE TO ABIDE BY AND PRACTICE THE HIGHEST STANDARDS OF ETHICAL CONDUCT FOR PUBLIC OFFICIALS. IN PARTICULAR, I AGREE THAT I WILL NOT PARTICIPATE IN ANY DECISION OR IF IN AN ADVISORY CAPACITY, MAKE ANY RECOMMENDATION FROM WHICH I OR MY FAMILY WOULD DIRECTLY BENEFIT PERSONALLY OR FINANCIALLY. I UNDERSTAND THAT THE APPEARANCE OF IMPROPRIETY OR CONFLICT OF INTEREST CAN DAMAGE THE REPUTATION OF THE CITY AS WELL AS MY INDIVIDUAL REPUTATION. I UNDERSTAND THAT IT IS A FUNDAMENTAL PUBLIC EXPECTATION THAT PUBLIC OFFICIALS AND PUBLIC SERVANTS WILL NOT OBTAIN FAVOR OR ADVANTAGE BECAUSE OF THEIR PUBLIC SERVICE. FURTHERMORE, I UNDERSTAND THAT THIS IS A VOLUNTEER APPOINTMENT AND I WILL NOT ACCEPT ANY COMPENSATION OR PER-DIEM PAYMENT FOR MY PUBLIC SERVICE. IT IS WITH THESE VALUES IN MIND THAT I FURTHER AGREE THAT I WILL NOT ENGAGE IN A BUSINESS RELATIONSHIP WITH THE CITY DURING THE TERM OF MY APPOINTMENT.
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53. 1. Receive an email copy of this form.
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