City of College Park, Maryland
Application For Appointment to City of College Park
Board, Commission or Committee
Name____________________________________________________________________________
Address__________________________________________________________________________
Home Phone_________________________ Alternate Phone (work/cell)______________________
e-mail address (print)_______________________________________________________________
1. Indicate which Board, Commission or Committee you are interested in
2. Why do you want to be on this Board?
3. List any other Board, Commission or Committee on which you serve:
4. List your educational and professional background:
5. List any Civic Experience / Volunteer Work / Other organizations:
6. Additional Information or Comments:
7. City Boards, Commissions and Committees meet on weeknights (Monday Thursday evenings).
Please list any conflicts in your schedule that would prevent you from attending a meeting on a
certain night of the week or month:
Date:____________________ Signature:__________________________________________
Please submit this completed form to the City Clerk at
jsmiller@collegeparkmd.gov, or
to your City Council representative