City of Lakeland
City of LakelandCity of Lakeland
City of Lakeland
Application for Boards & Commissions
Name: _______________________________________________________________________
Last First Middle
Address: ____________________________________________________________________
E-mail: ____________________________________________ Phone: ___________________
How long have you lived within Lakeland City Limits? __________________________
What is your present job description or profession? ______________________________
______________________________________________________________________________
Present Employer: ____________________________________________________________
Employer Address: ___________________________________________________________
How long have you been employed at your present job? __________________________
Resume is attached.
Education: (please list the levels of education, any type of degree(s), etc.)
___________________________________ ___________________________________
___________________________________ ___________________________________
___________________________________ ___________________________________
Unique Skills: _______________________________________________________________
______________________________________________________________________________
What are your interests? _______________________________________________________
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City of Lakeland
City of LakelandCity of Lakeland
City of Lakeland
Application for Boards & Commissions
COMPLETE A SEPARATE SHEET FOR EACH BOARD/COMMISSION APPLYING FOR AND
INDICATE YOUR FIRST CHOICE (AND SECOND/THIRD CHOICE, IF APPLICABLE)
Board or Commission applying for: _____________________________________________
Check if applicable: First choice Second choice Third choice
List related experience and/or training including volunteer activities: _______________
______________________________________________________________________________
______________________________________________________________________________
List special skills, qualifications, or interests: _____________________________________
______________________________________________________________________________
______________________________________________________________________________
Reason you chose to volunteer on this Board/Commission: ___________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
To be completed by the City of Lakeland
Appointed To: ____________________________________________________
Date of Appointment: ______________________________________________