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Firestone Board, Commission or Committee Application

2. To be considered a candidate for a board or commission, please complete this application. Application deadlines vary and are only accepted when and if there is a vacancy. <br><br>Qualifications: All positions require residency within the Town of Firestone, and, in some instances, a particular area of experience or vocation is preferred. Additional information can be found on the Town’s website under Boards and Commissions, or you can contact the Town Clerk’s Office at 303-531-6264. <br><br>The Board of Trustees will review candidate applications and, upon approval, will formally appoint individuals at a regularly scheduled Town Board meeting.

   To be considered a candidate for a board or commission, please complete this application. Application deadlines vary and are only accepted when and if there is a vacancy.
   
   Qualifications: All positions require residency within the Town of Firestone, and, in some instances, a particular area of experience or vocation is preferred. Additional information can be found on the Town’s website under Boards and Commissions, or you can contact the Town Clerk’s Office at 303-531-6264.
   
   The Board of Trustees will review candidate applications and, upon approval, will formally appoint individuals at a regularly scheduled Town Board meeting.

4. Name of Board, Commission or Committee*

5. Applicant Name*

7. Address*

9. City*

10. State*

11. Zip*

13. Home Phone

14. Cell Phone

15. Work Phone

17. Email*

18. How long have you been a Firestone resident?*

20. Current Occupation

21. Employer

23. Do you currently serve, or have you previously served, on a board, commission or committee?*

    1. Yes
    2. No

25. If yes, which ones?*

27. Why do you want to become a member of this particular board, commission or committee?*

29. Briefly explain what you believe are the two most important issues facing this board, commission or committee, and how do you believe this group should address each issue?*

31. List any abilities, skills, licenses, certificates, specialized training or interests you which are applicable to this board, commission or committee.

33. Please specify any activities which might create a conflict of interest that would prevent you from official action if you should be appointed to this board, commission or committee.

35. Have you attended a meeting of the board, commission or committeeyou are applying for or talked to anyone currently on the board?*

    1. Yes
    2. No

37. Comments

39. If not appointed at this time, would you be interested in serving on any other boards, commissions or committees for the Town of Firestone? *

    1. Yes
    2. No

41. If so, please list any preferences.

43. All applicants are strongly encouraged to attend a regularly scheduled meeting of the board, commission or committee for which they are applying. <br><br>The Town of Firestone will make reasonable accommodations for access to town services, programs and activities and will make special communication arrangements for persons with disabilities. Please call 303-531-6264 for assistance.

    All applicants are strongly encouraged to attend a regularly scheduled meeting of the board, commission or committee for which they are applying.
    
    The Town of Firestone will make reasonable accommodations for access to town services, programs and activities and will make special communication arrangements for persons with disabilities. Please call 303-531-6264 for assistance.

45. Check Here*

    I certify that all statements on this form are true and complete. I further understand that false statements shall be sufficient cause for rejection of this application.

    1. I agree my electronic submission of this form constitutes my signature affirming the above information is true and correct.
47. Applicant Signature*

48. Date*
    Date

Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

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