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 Municipal Property Corporation *
Building Safety Advisory & Appeals Board Parks & Recreation Advisory Board *
Airport Advisory Committee
Art in Public Places Committee * Pedestrian, Bicycle & Traffic Advisory Committee *
Board of Adjustment Planning & Zoning Commission
CDBG Citizens Advisory Committee * Prescott Preservation Commission
Industrial Development Authority * Public Safety Personnel Retirement System (Police)
Fire Board of Appeals Public Safety Personnel Retirement System (Fire)
Library Advisory Board *
Tourism Advisory Committee *
City of Prescott residency not required
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
Page 1 of 3
