Item 3D - Appt.to Whilmut Comm. - Laserfiche WebLink

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'.APPLICATION FOR APPOINTMENT TO -CITIZEN ADVISORY 'BOARDS AND COMMISSIONS 1, W hat experience, training, and/or qualifications do you have for this particular board or comm ission? 2. What specific contribution do you hope to make to the board or commission? Why do you want t0 become a member? 3. Briefly describe your involvement in relevant corn mu~ity groups and a~ivities. (Lack of previous involvement will not nece~arily disqual~ you from consideration.) 4. Are you currently a member of a GiN of ~ugene advisory board or commission? If so, wh~ one? on only one ~nding boa~ or come, sion at a time. A curmnt member ofa boa~/eom~ion who i~ a ~coe~l a~plican~ for enofher b~~i~ion will be mqui~d to ~O~e one ~M/~m~ion. Thi, ~llcy d~a no~ apply ~o ad ho~ com~l~eea or de~men~! ~m~$ or pos~ons ~et am deaignated for mem~ of ~pec~c a~so~ g~u~, e.g. ~e Planning Commi~n mem~r ass~n~ ~o t~ Cia~n In~lvement ~mm~ee. 5. Most CRy boards/~mm is~ons meal on~ a month, sometimes more ~equently. Meetings genera}ly last about two hours. Please i~d~ate be~w the times you wouU be'able to a~end meetings, ~ Morning (6:30 - 8:30 a.m .} ~ Noon time (11:30 - 1,:30 p.m .) ~ Afternoon (4:00 - 6:00 p,m .) ~ Evening (after' 6:~ p.m,) CI~ COUNCIL POECY REGARDING REAPPOINT~NT TO BOARDS AND CO~I~810N8 f . Membem of c~y adviso~ g~ps will se~e e ~ximum of ~ ~n~cu~ve terms when the length of ~e ~e~'18 thee ~are or m° ~, Individuals se~lng ~a less than th~ yearn ~11 be limited to a total of six consecu~ yea~ of se~i~. 2. The deeEline for appli~tions f~m incumbents is t~ same as the d~dline for new appfi~tions. 3. An individual may mapply for app~ntment to a ~rd or ~m~ssion after at l~st a one },ear hi,us 4., CiW of Eugene employees may ~t se~e on City of Eugene boards or commiaaiona except aa e~cifically p~vMed by ~e City Code, or as ~ui~d ~ peffo~ official duti~. In~rmetlon 8ubmi~ed on this epplicaI~n is publ~ in~rmation. The ~fo~aIion provided herein is ~e and complete. A false or mi,~ading atatement may be cause for elim~n fmm co, aragon. Signature of Applicant ' . .... Date R turn completed applications to: Manager's Office 777 Pearl ~tre.t, Room 10~ Eugene, OR g740~ 54~-a82-~0~0 54~-~82-~14 {Fax} {Applications may be faxed) vialt our Web *i~ at www. ci. eugeno,Or, u* Please ~omplete both 8id88 of fhia application App#callon tor,aDpoln[mentto Cltlze~ Nt, isory li~a~ls and C~nmissions- Pl~ge 2 Revlaed 5eplember, 2001. P:[CMC~BCC\BCCAPP010~ 19,wpd