Fillable BOARD/COMMITTEE/COMMISSION APPLICATION (State of Oregon)

Fill Online, Printable, Fillable, Blank BOARD/COMMITTEE/COMMISSION APPLICATION (State of Oregon) Form

Use Fill to complete blank online STATE OF OREGON (OR) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

BOARD/COMMITTEE/COMMISSION APPLICATION (State of Oregon)

On average this form takes 7 minutes to complete

The BOARD/COMMITTEE/COMMISSION APPLICATION (State of Oregon) form is 2 pages long and contains:

  • 2 signatures
  • 12 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Oregon

BROWSE STATE OF OREGON (OR) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
BOARD/COMMITTEE/COMMISSION APPLICATION
Applicant Information (Please type/print clearly):
Name:
Permanent Address:
Mailing Address:
Contact Phone Number:
E-Mail Address:
Preferred method of contact: Mail Phone Email
Occupation: Employer:
1. How long have you lived in the area: Year(s) Month(s)
2. Please give a brief description of your experiences or training that you feel qualifies you for this
particular position.
3. List current involvement in other community groups and/or activities.
4. What special contribution do you feel you can make to the group/position you are applying for?
CITY MANAGER’S OFFICE
3225 Main Street
Sweet Home, OR 97386
541-367-8969 541-367-1215 FAX
Jfisher@sweethomeor.gov
Please mark the Board, Commission or Committee in which you are interested in serving:
Budget Committee Planning Commission Library Board
Board of Appeals Park and Tree Committee
Charter Review Committee All Hazard Mitigation Committee
Are you applying for reappointment: Yes No
If yes, how long have you served in this capacity: Year(s) Month(s)
Application for City Boards, Commissions & Committees
Page 2 of 2
RESIDENCY:
The following applies for appointments that require residency and elector status:
I, ,certify that I currently reside within the
corporate limits of the City of Sweet Home and am an eligible elector as defined by ORS
246.012(5). I further acknowledge that should either my residency or my eligibility as an elector
change I will notify the City of Sweet Home immediately.
CRIMINAL HISTORY BACKGROUND CHECK (CCH):
A Criminal History Check (CCH) may be performed as part of the City of Sweet Home
appointment process for City Boards, Committees, and Commissions. I acknowledge that a
refusal to allow the CCH to be performed, when required, will cause my application to no
longer be considered.
PUBLIC DISCLOSURE:
The City sometimes receives requests for contact information for members serving on City
boards, commissions and committees. As an appointed public body volunteer serving the City
of Sweet Home, the information provided on this application is considered public record.
My signature acknowledges that the information I have provided on the application is true and
complete to the best of my knowledge and I understand that a CCH may be performed, when
required, and that the information provided on this application is considered public record.
Signature Date of Signature
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

BOARDCOMMITTEECOMMISSION APPLICATION (State of Oregon)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 28 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document