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Mar 18 2005 12:~?PM Lan~ Communit~ Coll~ 5~1-~83-3370 p.2 APPUCATION FOR APPOINTMENT TO CITIZEN ADVISORY BOARDS AND COMMISSIONS 1. Whet exp. e.rtence, training, and/or qualifications do you have for this particular board or commission? y .opu to make to [ne ooaro.or commlsslonY why eo you want to beams a member? . 3. Briefly describe your involvement In relevant oom mun~y groups and activ{ties. (Lack of previou'~s inv"~lvem" ~'nt will-'not ~'~ 7 '" necessarily disquali~ you from consideration.) 4. Are you currently a member of a City of Eugene advisory board or comm ission? If so, which one? NO 7'E: To allow a large number of citi~ns to salve o1~ boards and commissions, the City Council policy allows indlvidaals to serve on only on standing board or commission at a time. A current member of a board/commlsdon who is e successful applicant for another boarc//commisdon will be required to choose one. board/commission. This policy does not app/y to ad hoc committees or departmental committees or pod~ons that are designated for members of specific advisory groups, e.g. the Planning Commissbn member assigned to the Citizen Involvement Committee. ' 5. Most City boards/commissions meet once a month, sometimes more frequently, Meetings generally.last about two hours, Please indicate below the times you would be able to attend meetings. [] Morning (6:30 - 8:30 a.m.) [] Noon tlr;ne (11:30 - 1:30 p.m.) ~ Afternoon (4:00 - 6:00 p.m.) J~ Evening (after 6:00 p.m .) CIT,Y COUNCIL POLICY REGARDING RF~AI~POINTMENT TO BOARDS AND COMMISSIONS r ,, 1, Members of city advisory groups wifl serve a maximum of h~o consecutive' terrna when the length of the term is three years or more. Individuals serving terms less than three years will be limited to a total of six conaec~l/ve year~ of serdce, 2. The deadline for applications from incumbents is the same as the deadline for new applications. 3. An individual may reapply for appointment to a board or commission after at least a one year hiatus from servfoe. 4, City of Eugene employees may not serve on City of Eugene boards or commissions except as specifically provided by the City Code, or as required to perform official duffes. I I IIII information submitted on this appllcatio/~ is public information. The information provided herein is true and complete, A false Signature of Applicant ~ ~ Date Return c mpleted applica'tr~ns to.' ' City Manager's Office 777 Pearl Street, Room 105 Eug ne, OR 97401 541-682-5010 541-682-5414 (Fax) (Applications may be faxe¢t) Vid/our Web Site at www. ci. eugene.o[.us P/ease complete both sides of this application Application for/~pDintment lo Citizen Advlso~j Boards and Commissions. I:~g$ 2 P, evised Septenlber, ~01 - P:\CMC]~BCCtBCCAPFO109119.wpd