Application for Boards & Committees

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Please correct the field(s) marked in red below:

Please note: This application is considered to be public record

*Required fields

Date:
I am interested in being considered for appointment to the following boards and committees:
I am interested in being considered for appointment to the following boards and committees:
Nominee Information
 *
Nominee Information
Preferred Mailing Address?
Preferred Mailing Address?
Do you currently serve on any City of Mesa Advisory Boards/Committees?
Degree(s) earned and school attended (i.e. Bachelor of Science from ASU)
 *
Professional experience (include professional memberships and previous employment)
 *
Community activities (include civic clubs, volunteer activities, service organizations, etc.)
 *
Comments/Special qualifications
 *
Previous service on City boards/committees (include dates of service)
 *
Why do you want to serve on this board/committee?
 *
If desired, you may also send a resume
Optional Information
Optional Information

If you wish to print and return the application via mail, please send to:

Office of the Mayor
City of Mesa
P.O. Box 1466
Mesa, AZ 85211

  1. To receive a copy of your submission, please fill out your email address below and submit.