2. Dear Mayor,
   
   I am interested in donating my time to serve on one of the City's Boards or Commissions. The following brief résumé is provided for your review:

4. Name:
5. Email Address:*
7. Address:*
9. City*
10. State
11. Zip Code*
13. Home Phone Number:
14. Mobile Phone Number:*
15. Work Phone Number:
17. Area of Interest:
    250 Characters allowed
19. Board or Commission of Interest:
    -- Select One --Band CommissionBicyclist and Pedestrian CommissionBoard of Fire & Police CommissionersCommission on AgingCommunity Relations CommissionDowntown Design Review BoardEnvironmental Improvement CommissionFine & Cultural Arts CommissionFirefighters' Pension FundForeign Fire Insurance Tax BoardGroup Care Home CommissionHistoric CommissionLibrary BoardLiquor & Tobacco Control CommissionPlanning & Zoning BoardPolice Pension Fund BoardSister City Commission
21. Current Occupation:
22. Employer:
24. Volunteer Experience:
    250 Characters allowed
26. Educational Background:
28. Community Involvement:
30. References (Optional):
    250 Characters allowed
32. Date:
33. Signature:
35. • *Applications will be kept on file in the Office of the City Clerk.
    • *Résumés may be submitted in lieu of this form.
    • *Appointment to City Boards and Commissions requires the annual filing of a Disclosure Statement with the City Clerk. (Sec. 2-528, City Code)
    • *Appointment to certain Boards and Commissions requires the filing of a Statement of Economic Interest with the DuPage County Clerk. (IL Government Ethics Act)
    • * Appointment to City Boards and Commissions requires the one-time completion of the Open Meetings Act training. (IL Public Act 97-0504)
    • *Address/Phone Numbers/etc. Are considered “public information” and may be released to residents/press, etc.
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field