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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CITY OF PRESCOTT
BOARDS, COMMISSIONS, AND COMMITTEES
Professional Experience
Education - please include any degrees completed
Special Skills or Qualifications
Previous Volunteer Experience
References
Summarize your previous volunteer experience. Indicate any City of Prescott
Boards/Commissions/Committees that you are currently appointed to, or have been appointed to in
the past
Summarize special skills and qualifications you have acquired from employment, previous volunteer
work, or through other activities including hobbies or sports
List three references, please include name, phone, and email address
1
2
3
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CITY OF PRESCOTT
BOARDS, COMMISSIONS, AND COMMITTEES
Affirmation of Eligibility
Felonies, Misdemeanors or other Violations
No Yes
Professional Misconduct
No Yes
Workplace Substance Use Violations
No Yes
Personal Integrity
No Yes
Conflicts of Interest
No Yes
Date
Name (printed)
Signature
RETURN TO: E-mail
city.clerk@prescott-az.gov
US Mail City Clerk's Office, City of Prescott
201 South Cortez, Prescott, Arizona 86303
(This application will remain on file for a period of one year from the date received.)
Please Note: If you are recommended by the Council Subcommittee on Appoint-
ments for appointment to a Board, Commission or Committee a background investi-
gation will be required.
The City Clerk's Office will follow up with necessary information as required.
Is there any possible conflict of interest, whether financial or personal, or other matter that would
create problems or prevent you from fairly and impartially discharging your duties as an appointee?
Please attach additional information for any "yes" answers
Is there any information that, if it came to light, would embarrass you or reflect negatively on your
appointment?
In the past five years, have you ever been reprimanded, demoted, disciplined, placed on probation,
suspended, cautioned or terminated by an employer as a result of your alleged consumption of use of
alcohol, prescription drugs, or illegal drugs?
To your knowledge has any formal charge of professional misconduct ever been filed against you by a
licensing or regulatory board or by any other disciplinary body in any jurisdiction?
Are you currently charged with or have you ever been convicted, received deferred adjudication, or
entered a guilty plea or nolo contendere for any Felony or Class 1 Misdemeanor offense?
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