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The City of Phoenix is looking for citizens (City of Phoenix)

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1
The City of Phoenix is looking for citizens who would enjoy serving as a member of the Bee
City USA Subcommittee. The Bee City USA Subcommittee works closely with the Public Works
staff and Parks and Greenway Commission to improve the community through pollinator
education and creating sustainable habitats for pollinators, which are vital to feeding the
planet, in the City of Phoenix.
Bee City USA Subcommittee consists of five members who are not elected officials or
employees of the City, each appointed to four-year terms. The proper function of Bee City
USA Subcommittee DEPENDS on a reliable, engaged membership. This typically requires
approximately 5-10 hours a month to attend one regular meeting on the third Thursday each
month and the preparation required for those meetings. There may be times when that
commitment involves an additional meeting.
Bee City USA certification is both an honor and a responsibility. Launched in 2012, the Bee
City USA program endorses a set of commitments, defined in a resolution, for creating
sustainable habitats for pollinators, which are vital to feeding the planet. Cities, towns and
communities across America are invited to make these commitments and become certified as
a Bee City USA affiliate.
In 2006 when honey bee colonies started disappearing, later dubbed “Colony Collapse
Disorder,” beekeepers and non-beekeepers alike became very concerned. After all, one in
every three bites of food we eat is courtesy of insect pollination. Equally important, 85% of
flowering plants and trees rely on pollinators for the survival of their species. While less is
known about native bees and other pollinators, we do know that entire species are
disappearing at alarming rates as they battle most of the same enemies as honey bees--loss of
habitat essential for food and shelter, inappropriate pesticide use, diseases, and parasites.
If you would like more information about the Bee City USA Subcommittee, please contact
the Theresa Syphers at 541-535-2226 or theresa.syphers@phoenixoregon.gov.
Please return this application to the City Recorder, 112 W. 2
nd
St., P. O. Box 330, Phoenix,
OR 97535 or kimberlyn.collins@phoenixoregon.gov
Bee City USA Subcommittee Application
112 W. 2
nd
St. PO Box 330 - Phoenix, OR 97535 ph. (541) 535-1955
2
Name:
Last
First
Street Address:
State Zip Code
Mailing Address:
State Zip Code
Telephone Number:
Home/Cell phone Work phone
E-mail Address: ___________________________________________ Years of Residency in Phoenix: _________
Occupation: _______________________________ Place of Employment: ________________________________
1. Please give a statement indicating the reason you would like to serve on the Bee City USA Subcommittee.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
2. What personal and/or professional experience do you possess that will help you to be a great member for
the City of Phoenix? _____________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
3. What do you like best about living in Phoenix? _____________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
4. What one thing would make Phoenix a better place to live? __________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Bee City USA Subcommittee Application
112 W. 2
nd
St. PO Box 330 - Phoenix, OR 97535 ph. (541) 535-1955
QUESTIONARIE
APPLICATION INFORMAITON
3
5. What is an example of a great city, neighborhood, or another place, and what makes it great?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
6. Are there any particular community development issues that most interest or concern you?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
7. Do you feel as a citizen of the community that you are able to provide objective recommendations to the
Bee City USA Subcommittee or other boards, as needed? ___________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
8. Do you feel you have any conflicts of interest that may arise due to your appointment to the Bee City USA
Subcommittee? ________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
9. List any special skills, interests, and hobbies that you believe would bring special value to your ability to
serve on this board: _____________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
10. How did you hear about this position? ____________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
11. Would you be interested in serving on an advisory board in the future? ________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
4
Organization 1: ____________________________ ______________________ _________________
Name Type Phone Number
______________________________________________ _________________________ ___________________
Address Start Date End Date
Role: ______________________________________________________________________________________________
If you are still serving in this capacity, do you foresee any conflicts between this board and the position you currently
hold?
Yes No
Organization 2: ____________________________ ______________________ _________________
Name Type Phone Number
______________________________________________ _________________________ ___________________
Address Start Date End Date
Role: ______________________________________________________________________________________________
If you are still serving in this capacity, do you foresee any conflicts between this board and the position you currently
hold?
Yes No
____________________________ ___________________ ________________
Name Phone Number Relationship
____________________________ ___________________ ________________
Name Phone Number Relationship
____________________________ ___________________ ________________
Name Phone Number Relationship
My signature affirms that the information in this application is true to the best of my knowledge. I understand
that misrepresentation and/or omission of facts are cause for removal from any advisory board, committee or
commission I may be appointed to. All information/documentation related to service on this board is subject to
public record disclosure.
Signature: Date:
Please return this application to the City Recorder, 112 W. 2
nd
St., P. O. Box 330, Phoenix, OR 97535 or
kimberlyn.collins@phoenixoregon.gov
OTHER VOLUNTEER BOARD, COMMISSION, OR COMMITTEE EXPERIENCE
REFERENCES
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The City of Phoenix is looking for citizens (City of Phoenix)

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Completed 24 January 2021

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