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APPLICATION FOR APPOINTMENT TO CITIZEN ADVISORY BOARDS AND COMMISSIONS t. What expadenca, training, end/o[ qualifications do you have for this particular board or commtaalon? Extensive background in economic development and job creation activities. 2. What specific contribution do you hope to make to the board or commission? Why do you want to become a member? Brings history of the organization as h~ was one of the founding board members, He has the knowledge amd the experience to effectively lihk economic dePelopment and workforce development. 3. Briefly describe your Involvement in relevant community groups and activities. (Lack of previous involvement wil! not necessarily disqualify you from consideration.) 4. Are you currently a member of a City of Eugene advisory board or commission? If so, which one? No NOTE: To allow · large number of dti~en$ to serve on boa[ds end commissions, the City Council policy allows individuals to serve on only one standing board or commission at a time. A current member ora board/commission who Is a successful applicant for another boarcJ/commission will be required to choose one board/commission. This policy does not apply to ad hoc committees or departmental c~mrniffees or positlo~s that ere designated for members of specific adviso/y groups, e.g. the Planning Commission member assigned to the Citi~n Involvement Committee. 5. Moat City boards/commissions meet once a month, sometimea 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 time (11:30 * 1:30 p.m .) (-J Afternoon (4:00 - 6:00 p.m.) [] Evening (after 6:00 p.m.) [x] Also 8-10 a.m, CITY COUNCIL POLICY REGARDING RE. APPOINTMENT TO BOARDS AND COMMISSIONS I. Members of c~y edvfsory groups will serve a maximum of two consecutive tem3s when the length of the term is three years or more. Indivfduais serving reims less than three years ~11 be limited to a total of six consecutive years of set, rico. 2. The deadline for applications frown incumbents is the same as the deadline for new applications. 3. An individual may reapply for eppcintment to e board or commission after at Ioesf a one year hiatus from service. 4. City o~ Eugene employees may not serve on City of Eugene boards or commissions except as specifically provided by the City Code, or as required to perfonw official duties. Information submitted on this application ia public information. The ~nformation provided herein is true and complete. A false or misleading statement may be cause for elimination from considerab'on. Signature of Applicant p(~~~catlons to: / Date /~'"~'~' ~'~'~ Return completed ap City Manager's Office 777 Pearl Street, Room 105 Eugene, OR 97401 541-682-5010 541-582,5414 (Fax) (Applications may be faxed) vis~ our Web Site et www. ci. eugene.or, us