Board and Commission Application

Join us. Tell us. Get involved.

The City of Urbana appreciates the many volunteers who serve on advisory boards, commissions, and committees that provide valued input and recommendations to the Mayor and City Council. Members are put forward for appointment by the Mayor and then confirmed by the City Council.

All board, commission, and committee meetings are open to the public and welcome resident input.

If you are interested in volunteering your time and expertise and want to be considered for appointment to an Urbana board or commission, please fill out an online Board and Commission Application.

Board or Commission that you are applying for

Board or Commission that you are applying for
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Applicant Name

Applicant Name
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Email Address

Contact Telephone Number

Address

City/Town

State/Province

ZIP/Postal Code

Country

How long have you been a resident of Urbana?

How long have you been a resident of Urbana?
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Present Occupation

Duties and Responsibilities

Duties and Responsibilities
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Please list any additional Boards/Commissions that you are currently serving on

List any other personal experiences which are pertinent to service on this board. (Include education, training, work experience, community involvement, and/or awards/honors if applicable.)

Can you think of any relationship or other reason that might possibly constitute a conflict of interest if you are selected to serve on the board, committee or commission for which you are applying? (This question is not meant to disqualify you; it is only intended to provide information.)

Please write a brief statement concerning your interest in this board, committee or commission and your willingness to serve as a member.

Reference #1

Reference #1
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Reference #2

Reference #2
	Reference #2 Full Name Occupation Contact Phone Number Relationship with Applicant	Item weight

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Reference #3

Reference #3
	Reference #3 Full Name Occupation Contact Phone Number Relationship with Applicant	Item weight

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Boards and Commissions

Board and Commission Application

Join us. Tell us. Get involved.