Commission & Committee Recruitment

2. Name of Committee/Commission You Are Applying For
   -- Select One --Planning CommissionEconomic Development CommitteeBusiness Assistance CommitteePark BoardBudget Committee
4. Please Check One

   1. New Applicant
   2. Applicant for Reappointment
5. Do You Live Within Veneta City Limits?

   1. Yes
   2. No
7. Are You Registered to Vote in the State of Oregon?

   1. Yes
   2. No
9. Name
10. Email Address
12. Occupation
13. Place of Employment
15. Business Address
17. Address
19. City
20. State
21. Zip Code
23. Phone Number
24. Fax Number
26. Please give a brief description of the experience or training that qualifies you for membership on this commission/committee. (If you wish, you may attach a resume or other pertinent material.)
28. Resume
30. Please give a brief description of the experience or training that qualifies you for membership on this commission/committee. (If you wish, you may attach a resume or other pertinent material.)
32. Please list the community concerns related to this commission/committee that you would like to see addressed if you are appointed.
34. Briefly describe your present or past involvement in relevant community groups. (Having no previous involvement will not disqualify you for appointment.)
36. Are you currently serving on any Advisory Boards, Commissions or Committees? If so, which ones?
38. Are you employed by, have any business, contractual arrangements or family connections with programs having contractual agreements with the City that might be within the purview of the committee on which you are seeking appointment?
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field