CITY OF PRESCOTT
BOARDS, COMMISSIONS, AND COMMITTEES
A current application is required both for initial appointment or reappointment consideration.
Contact Information
Name
Street Address
City, State, Zip
Home Phone
Cell Phone
E-mail Address
Board/Commission/Committee Interests
____ Acker Trust Board ____ Library Advisory Board*
____ Advisory & Appeals Board ____ Municipal Property Corporation*
____ Airport Advisory Committee
____ Annexation Financial Review Committee ____ Parks & Recreation Board*
____ Art in Public Places Committee* ____ Planning & Zoning Commission
____ Board of Adjustment ____ Prescott Preservation Commission
____ CDBG Citizens Advisory Committee* ____ Public Safety Personnel Retirement System
____ Fire Board of Appeals ____ Unified Development Code Committee
____ Industrial Development Authority*
____ Pedestrian, Bicycle, and Traffic Advisory Committee
*City of Prescott residency not required ____ Tourism Advisory Committee*
Current Employment Information
Business Name
Your Work Title
Office Address
City, State, Zip
Work Phone
Personal Information
Resident of the City of Prescott ______ Yes ______ No
Length of residency in the City of Prescott ____ Years ____ Months
Referred By (if applicable)
Please select up to three boards/commissions/committees of interest. Indicate 1st, 2nd, or 3rd choice.
Application for Board/Commission/Committee Member
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