Date:
|Date: | City of Aurora |Ward No. |
| |APPLICATION FOR APPOINTMENT | |
| |PLEASE TYPE OR PRINT CLEARLY | |
| |Application kept for One Year. May Attach Resume. | |
|Board/Commission Applying For: |
| |
| PERSONAL INFORMATION: | |
| Name: | How long in Aurora: |
| | |
| Home Address: | Zip: | Registered to Vote: |
| | | |
| | | |
| e-mail address: | **Date of Birth: | Home Phone: | Work Phone: |
| | | | |
| EDUCATION: **Required to verify voter registration |
|Yrs. Completed: |Degree(s): |
| | |
|Colleges: |
| |
| EMPLOYMENT: |
|Employer Name/Address: |Position: |How long? |
| | | |
|Work Experience: |Certifications: |
| | |
| COMMUNITY INVOLVEMENT: |
| |
|DO YOU PRESENTLY SERVE IN ANY OTHER APPOINTED POSITION ON A BOARD, COMMISSION OR COMMITTEE? Yes No |
|If yes, what position: |
| |
| INTERESTS/ACTIVITIES: |
| |
| WHY DO YOU DESIRE THIS APPOINTMENT: |
| |
|How much time do you anticipate being able to spend on this appointment each month? |
| |
| PLEASE GIVE THREE REFERENCES: |
|Name: |Address: |Phone: |
| | | |
|Name: |Address: |Phone: |
| | | |
|Name: |Address: |Phone: |
| | | |
I certify that the foregoing information is true and correct.
(Volunteer's name printed) (Volunteer's signature) (Date)
SEND COMPLETED FORM TO:
CITY CLERK’S OFFICE, 15151 E. Alameda Parkway, Suite 1400, Aurora, CO 80012
PHONE: 303.739.7094 FAX: 303.739.7520.
(-OVER-)
|How did you hear about us: | |
| | |
|Newspaper: ______________ | |
|News Aurora (water bill newsletter) | |
|Channel 8 | |
|Word of Mouth | |
|Other: | |
| | |
| FOR OFFICE USE ONLY: |
| | |
|Date Received: _____________________ |Registered Voter: Yes No _____ N/A County: |
|Excel Entry Date:___________________ | |
|Initials: ____________ |As of: Volunteer Agreement Signed?: Yes No |
| |Incumbent? _____ Renewal Letter Attached? _____ New Volunteer Agreement? ______ |
|Date Interviewed: |Comments: |Appointed? |
|Date Interviewed: |Comments: |Appointed? |
|Date Interviewed: |Comments: |Appointed? |
|Date Postcard Sent: |Response: | |
|Date Postcard Sent: |Response: | |
................
................
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