Boards and Commissions Application

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The City of Buckeye utilizes various boards and commissions to advise Council on various matters. Members of boards and commissions serve the vitally important role of researching, considering and discussing important issues facing the city. There are currently five boards that meet regularly and three boards that meet as necessary, as referenced in this document

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Name (First and Last) 
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2
What District do you live in?
What District do you live in?
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Address (Street Name and House Number, City and Zip Code)
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4
Place of Employment
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5
Phone Number 
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6
Email Address
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7
Boards and Commissions Preferences (You may check more than one option)
Boards and Commissions Preferences (You may check more than one option)
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If appointed, how many hours per week are you able to devote to the Board/Commission?
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9
What are the best meeting days for you? (Please check all that apply) 
What are the best meeting days for you? (Please check all that apply)
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 How long have you been a resident of Buckeye? (Please include years/months)
 *
11
 You must be a registered voter in Buckeye to be appointed to serve on certain Boards/Commissions. Are you a valid registered voter in Buckeye?
You must be a registered voter in Buckeye to be appointed to serve on certain Boards/Commissions. Are you a valid registered voter in Buckeye?
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 What civic activities have you been or are now involved in?
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 Please tell us why you wish to be appointed to a City Board or Commission?
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 Are you now serving or have you ever served on a Board/Commission for the City of Buckeye? Please indicate Board/Commission and the dates served.
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 Give any qualifications, education or experience you have which may pertain to the requested Board(s)/Commission(s).
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 Additional Comments
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 Provide details regarding any education you may have that pertains to any of the Boards/Commissions you would like to serve on.
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 If you are certified in areas relating to the Boards/Commissions you would like to serve on, please provide detailed information, including date of certification.
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 Have you ever served on a committee? If yes, please provide details.
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 Have you taken any additional training that may be specific to the City Board(s)/Commission(s) of which you have indicated an interest?
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