HomeMy WebLinkAboutCityOfOshkoshBoardCommApplicationCITY OF OSHKOSH APPLICATION FOR
APPOINTMENT TO
CITY BOARDS AND COMMISSIONS
Completed applications should be returned to:
City Manager’s Office, 215 Church Avenue, Room 402, Oshkosh, WI 54901
Name of Board(s) or Commission(s) Date
Full Name Address
Occupation Employer
Please put an asterisk by which number is best for public posting
18 Years of Age or Older? Yes No Home Phone Business Phone
E-Mail Address: Cellular Phone
Do you currently reside / live within the Oshkosh City Limits? Yes No Number of Years:
Education:
Do you have any relatives in the service of any department of the City of Oshkosh? Yes No
List name, department and relationship:
________________________________________________________________________________________
List any potential conflicts of interest: _________________________________________________________
________________________________________________________________________________________
List City boards, commissions or
committees on which you have served:
Yrs List other civic, church or club
committees on which you have served:
Yrs
What previous education, experience, training, or other special qualification from your background do
you feel qualifies you for the position(s) you are interested in? Attach a separate sheet if necessary.
If selected, how would you work towards bettering the community through service on the Board/Commission?