Boards & Commissions Application

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Last Updated: April 16, 2018

Do you have a passion to improve the community you live in and help make Harrisonburg one of the best places to live in Virginia? If so, we encourage you to get involved! Volunteer to serve on a council, board or commission. Start by filling out the application below. *Only citizens of the City of Harrisonburg may apply.

(If you are currently serving and interested in serving another term, use the Re-appointment Application Form.)

*Indicates required field.

I am interested in serving on the following boards/commissions. (Please indicate in the order of preference).

1. *

2.

As an applicant/member of a Council-appointed Board or Commission, your name, address, and phone number will be available to the press and public. Information will be kept on file for three years. Public discussion of information contained herein may occur in the meeting at which appointments are considered by the City Council.

Title *

Last Name *

First Name *

Middle Initial

Home Address *

Own or Rent? *

Mailing Address (if different than home address)

Phone Number *

Alternate Phone

Occupation *

Employer/Organization *

Email *

Number of years as a Harrisonburg resident *

Were you referred by anyone?

Yes

No

Name of referring party

How did you hear about volunteering on a board or commission?

Cable

Website

Council Meeting

Other

If other, please specify

Why do you wish to serve on a board or commission? *

What relevant experience or education do you have to this board or commission? *

What other interests or concerns do you have regarding the community? *

Please list any past or present community involvement e.g. City Council, Board and Commissions, Citizen Academy, etc. in Harrisonburg or elsewhere *

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Boards & Commissions Application