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APPLICATION FOR APPOIN T O .CITIZEN ADVISORY BOARDS AND COMMISSIONS 1. What eXperience, training, and/or qualifications do you have for this particular board or commission? .' · .. : i ; . 3. ~rie, y describe ~ur involvement in relevant co~munit~g~ou~s an~ act~~k of prevtou~~m~~ n cessarily disquali~ you from consideration.) T~~ ~ro~-- - ~-~p~o- 4. Are y;~ currently a member of a Ci~ of Eugengadviso~ board ar commission? '~'so, ~OT~: ro ~llow ~ largo numbor o~ citizons ~o somo on ~o~ ~n~ commlssions, t~o ¢itg on onl~ oho ,tan~in~ bo~ or commission at ~ timo. A cu~nt mombor o~ ~ ~oa~commission ~o i~ ~ succoss~ut applicant ~or ~not~or boar~commission ~ill ~o requlre~ to ¢~ooso oho boa~commlssion, r~is policy ~oos not 8pply to ~ ~oc comm~oos or ~opa~montal commiRoos or positions t~at are ~osi~nato~ ~or mombors o~ ~poci~c 8~ulso~ ~mups, o.~. t~o Plannln~ ¢ommission mom~or assi~no~ to t~o ¢itlzon tnvolvomont 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.) I~, Noon time (11:30 - 1:30 p.m.) I~ Afternoon (4:00 - 6:00 p.m.) I~ Evening (after 6:00 p.m.) CITY COUNCIL POLICY REGARDING REAPPOINTMENT TO BOARDS AND COMMISSIONS 1. Members of city advisory groups will serve a maximum of two consecutive terms 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 consecutive years of service. 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 service. 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 duties. Information submitted on this application is public information. The information provided herein is true and complete. A false or misleading statement may be cause for elimination from consideration. Signature of Applicant ~'~ "~~ Date '~ +*" '//"--~->/5~' / / ~/ Return completed applications to: .City Manag r's Office , 777 Pearl Street, Room 105 Eugene, OR 97401 541-682.5010 541-682.5414 (Fax) (Applications may be faxed) visit our Web Site at www. ci. eugene, or. us Please complete both sides of this application Application for Appointment to Citizen Advisory Boards and 'Commissions- Page 2 Revised September, 2001 - H:\Boards Corttmlttees Commissions\Bcc~BCCAPP01091 '19,wpd