City of Chanute, Kansas
APPLICATION FORM
FOR APPOINTMENT TO CITY BOARD OR COMMISSION
DATE ______/______/_________
NAME ____________________________ HOME ADDRESS:
HOME PHONE:____________ CELL PHONE:_____________ E-MAIL ADDRESS
BUSINESS ADDRESS_______________________________BUSINESS PHONE
AREA OF EXPERTISE AND/OR EDUCATION
**Please attach a resume to this application**
I AM INTERESTED IN SERVING ON THE BOARD(S) AND/OR COMMISSION(S) AS INDICATED – NUMBERED IN ORDER OF PREFERENCE
_____Board of Electrical Examiners _____Library Board
_____Board of Plumbing Examiners _____Tourism Committee
_____Board of Zoning Appeals _____Recreation Commission
_____Planning Commission _____Human Relations Board
_____Airport Advisory Committee _____Housing Authority
_____Parks Advisory Board _____Revolving Loan Advisory Committee
_____Golf Course Advisory Board _____CRDA Board of Directors
_____Economic Development Activities Committee _____Downtown Revitalization Committee
_____Architectural Review Board
(SIGNATURE)
RETURN THIS FORM TO CITY MANAGER’S OFFICE – P.O. BOX 907, CHANUTE, KS 66720