Fillable Application for Appointment Board/Committee/Commission City of Rio Rancho (City of Rio Rancho)

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Application for Appointment Board/Committee/Commission City of Rio Rancho (City of Rio Rancho)

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The Application for Appointment Board/Committee/Commission City of Rio Rancho (City of Rio Rancho) form is 3 pages long and contains:

  • 3 signatures
  • 10 check-boxes
  • 52 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Rio Rancho

BROWSE CITY OF RIO RANCHO (NM) FORMS

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District 1 District 2 District 3 District 4 District 5 District 6
I am a resident of Rio Rancho and will remain one throughout my term
Signature: Date:
Public Infrastructure Advisory Board
Please complete all the information on this form as accurately as possible by typing or using blue
or black ink. Once complete, please submit this form and your current resume to the Office of
the City Clerk. Please contact us at (505) 891-5004 with any questions.
Applicant Name:
Capital Impv't Plan Citizen Advisory Comm. (CIPCAC)
Library Board of Trustees
Parks and Recreation Commission
Planning and Zoning Board
Lodger's Tax Advisory Board
Keep Rio Rancho Beautiful Committee
SECTION 4 - Acknowledgements
By signing this form, I attest that the information I have provided herein is true and accurate to the best of my
knowledge.
SECTION 1 - In Which District Do You Live?
SECTION 2 - Applicant Information
First Name Last Name
Please briefly describe your qualifications (remember to attach a resume):
Physical Address:
Street City/State Zip
SECTION 5 - SIGNATURE OF APPLICANT
Arts Commission
I have attached a current resume with this application
I understand that this application may be disclosed if requested by the public
I understand that I am applying for an unpaid, volunteer, position
SECTION 3 - Board for Which you are Applying
Senior Services Advisory Board
Application for Appointment
Board/Committee/Commission
City of Rio Rancho - Office of the City Clerk
3200 Civic Center Circle NE, Rio Rancho, NM, 87144
Phone: (505) 891-5004 Fax: (505) 994-2557
Phone #: E-Mail:
Title
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Public Infrastructure Advisory Board TBD TBD TBD
6:00 PM
6:00 PM
9:00 AM
6:00 PM
6:00 PM
1:15 PM
City Hall
City Hall
City Hall
Loma Colorado
City Hall
City Hall
City Hall
Senior Center
Schedule Location Time
Monthly - 2nd Thursday
Quarterly - 4th Monday
Monthly - 2nd Monday
Monthly - 2nd Monday
Semimonthly -1st Thurs
Monthly - 3rd Monday
SECTION 6 - List of Meeting Schedules
Lodger's Tax Advisory Board
Board or Commission
Arts Commission
Parks and Recreation Commission
Planning and Zoning Commission
Senior Services Advisory Board
Bimonthly - 2nd & 4th Tues
Monthly - 2nd Tuesday
6:00 PM
6:00 PMCIPCAC
Keep Rio Rancho Beautiful
Library Board of Trustees
Address or Legal Description (if no street address exists)
Signature: Date:
SECTION 4 - Signature of Official
By signing this form, I attest that the information I have provided herein is true and accurate to the best of my
knowledge.
In this section, list all interests in any business organization, either as owner, part owner, partner, or shareholder, in
which such individual owns more than two percent of the outstanding stock or more than two percent of the ownership
interest of any other business that is doing business with the City in an amount in excess of $7,500 annually.
Name of Business
Principal Address of Business
SECTION 3 - Interests in Business Organizations
First Name Last Name
Nature of Interest
SECTION 2 - Description of Owned Parcels of Real Estate
In this section, list all parcels of real estate within the city limits in which you own any interest including an option to
purchase. (Please attach additional pages, if necessary)
STATEMENT OF ECONOMIC INTEREST
FOR ELECTED OR APPOINTED OFFICALS AND CANDIDATES
OFFICE OF THE CITY CLERK
3200 Civic Center Circle NE, Suite 150, Rio Rancho, NM 87144
Telephone: (505) 891-5004
•
Email: clerk@rrnm.gov
Title/District
SECTION 1 - Name and Position
INSTRUCTIONS: Pursuant to 39.17 R.O. 2003, Please complete all the information on this form completely and accurately.
For assistance, please contact the Clerk's Office at 891-5004
Official's Name:
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Application for Appointment BoardCommitteeCommission City of Rio Rancho (City of Rio Rancho)

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Completed 10 February 2021

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