CITY OF HARTFORD BOARD AND COMMISSION PROFILE FORM
The City of Hartford welcomes your interest in serving on a board or commission. To apply, first complete this form. Then,
email this Profile Form, your resume or a brief biography, and the Required Narrative (described below) to
BoardsandCommissions@hartford.gov . You will receive an email response when we receive the three required documents.
Name: __________________________________________________________________________________________
First M.I. Last
________________________________________________
________________________________________________
Mailing Address if different _______________________
________________________________________________
Email Address: _________________________________
Company: ________________________________________
__________________________________________________
__________________________________________________
Title: ____________________________________________
Email Address: ___________________________________
Are you currently a registered voter? Yes No If yes, in what city/town? __________________________
Are you registered with a political party? Yes No
If yes, list your political affiliation, e.g. Democrat, Green, etc.: ___________________________________
Are you currently serving on a Hartford Board or Commission? Yes No
If yes, please list name(s) of Board(s)/Commission(s): ______________________________________________________
Organizational Memberships and/or Professional Affiliations: ____________________________________________
_______________________________________________________________________________________________
Individual Interests: Select the Board(s) and/or Commission(s) in which you are interested:
Commission on Aging
Commission on Addiction & Public
Health
Board of Assessment Appeals
Hartford Area Cable Television
Advisory Council
Civilian Police Review Board
Commission on Cultural Affairs
Design Review Board
Commission on Disability Issues
Board of Education
Advisory Commission on the
Environment
Ethics Commission
Fair Rent Commission
Greater Hartford Flood Commission
Advisory Commission on Food Policy
Golf Course Oversight Commission
Commission on Grandparents Raising
Grandchildren
Historic Properties Commission
Commission on HIV/AIDS
Commission on Homelessness
Commission on Housing
Hartford Housing Authority Board of
Directors
Commission on Human Relations
Human Resources Appeal Board
Internal Audit Commission
Commission on Lesbian, Gay, Bisexual
and Transgender Issues
Hartford Parking Authority Board of
Directors
Commission on Veterans Affairs
Parks and Recreation Advisory
Commission
Pension Commission
Planning and Zoning Commission
Board of Preservation Appeals
Hartford Redevelopment Agency
School Building Committee
Greater Hartford Transit District
Board of Directors
Metropolitan District Commission
Board of Commissioners
Permanent Commission on the Status
of Hartford Women
Tree Advisory Commission
Zoning Board of Appeals
Commission on Refugee and
Immigrant Affairs
Required Narrative: Please write a narrative explaining why you want to serve or continue to serve on the Board(s) or
Commission(s) you have chosen above. If you have a first choice, please indicate. Describe the skills and experience you
possess that are relevant to the board or commission you chose. Further, describe your involvement in the Hartford
community and how it relates to service on a board or commission. Add any additional information you wish.
Certification: I _______________________hereby certify that all information on this form and in my two attachments is
Name
true and accurate to the best of my knowledge. _____________________
Date Rev. 8.1.17
