Boards and Commissions Application Please use the electronic form below. Step 1 of 6 16% Name * Required First Last Phone * RequiredEmail * Required Home Address * Required Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Greeley Residency * Required I understand this City Council policy.While Greeley residency is not required, preference is given to applicants that are Greeley residents during the application and appointment process. Please affirm below that you understand this City Council policyHiddenGreeley Residency HIDDENResidence is not required, but preference will be given to residents of Greeley in the appointment process. Yes No Occupation * Required Employer * Required How did you hear about Greeley Boards and Commissions? * Required Board or Commission InformationSelect a choice. If you would like to apply for more than one commission, you will have to submit additional applications. * Required Citizen Budget Advisory Committee Citizen Transportation Advisory Board Civil Service Commission Commission on Disabilities Construction Trades Advisory and Appeals Board Downtown Development Authority Golf Board Greeley Art Commission Greeley Urban Renewal Authority Greeley/Weld Airport Authority Historic Preservation Commission Housing Authority Human Relations Commission Island Grove Park Advisory Board Judicial Review Board Museum Board Parks & Recreation Advisory Board Planning Commission Rodarte Community Center Advisory Board Stormwater Board Union Colony Civic Center Advisory Board Water and Sewer Board Youth Commission Youth Commission Applicants: For which type of position are you applying? * Required Youth (Between the ages of 11 to 17, 2-year term) Ex-officio Adult (Age 18 or older.) Commission on Disabilities Applicants: I affirm that I meet the qualifications listed to serve on the Commission on Disabilities for which I am applying, and qualify as: * Required An individual with a disability (such as sensory, mobility, developmental, mental health, etc.) A parent of a child (minor or adult) with a disability A representative of a local employer or a community member at large DDA Applicants: I affirm that I meet the qualifications listed to serve on the DDA Board for which I am applying, and qualify as: * Required A resident within the district An owner of real property within the district A business lessee within the district An officer/director of a corporation within the district Business or Property Address * Required Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Application TypeApplication Type * Required I am applying to be reappointed to the same Board or Commission I am applying to be appointed to a different Board or Commission I currently serve on a City of Greeley Board or Commission * Required Yes No Board or Commission I currently serve on * Required Citizen Budget Advisory Committee Citizen Transportation Advisory Board Civil Service Commission Commission on Disabilities Construction Trades Advisory and Appeals Board Downtown Development Authority Golf Board Greeley Art Commission Greeley Urban Renewal Authority Greeley/Weld Airport Authority Historic Preservation Commission Housing Authority Human Relations Commission Island Grove Park Advisory Board Judicial Review Board Museum Board Parks & Recreation Advisory Board Planning Commission Rodarte Community Center Advisory Board Stormwater Board Union Colony Civic Center Advisory Board Water and Sewer Board Youth Commission If appointed to the position for which you are applying * Required I intend to resign my current positiion I intend to serve on multiple boards or commissions It is City Council’s preference that individuals only serve on one Board or Commission at a time. HiddenHIDDEN If you have previously served on a board or commission, please select it below Building Authority Citizen Budget Advisory Committee Citizen Transportation Advisory Board Civil Service Commission Commission on Disabilities Construction Trades Advisory and Appeals Board Downtown Development Authority Golf Board Greeley Art Commission Greeley Urban Renewal Authority Greeley/Weld Airport Authority Historic Preservation Commission Housing Authority Human Relations Commission Island Grove Park Advisory Board Judicial Review Board Museum Board Parks & Recreation Advisory Board Planning Commission Rodarte Community Center Advisory Board Stormwater Board Union Colony Civic Center Advisory Board Water and Sewer Board Youth Commission HiddenHIDDEN If you are currently serving, do you plan to Continue to serve on my current board or commission Resign my current board or commission Applicant InformationIf you have previously served on a board or commission, please select it below Building Authority Citizen Budget Advisory Committee Citizen Transportation Advisory Board Civil Service Commission Commission on Disabilities Construction Trades Advisory and Appeals Board Downtown Development Authority Golf Board Greeley Art Commission Greeley Urban Renewal Authority Greeley/Weld Airport Authority Historic Preservation Commission Housing Authority Human Relations Commission Island Grove Park Advisory Board Judicial Review Board Museum Board Parks & Recreation Advisory Board Planning Commission Rodarte Community Center Advisory Board Stormwater Board Union Colony Civic Center Advisory Board Water and Sewer Board Youth Commission Please explain why you are seeking appointment to the board or commission * RequiredPlease list any previous service on Greeley’s Boards and Commissions, along with any training, experience, education, or skills that you believe enhance your ability to serve on the Board or Commission * Required DemographicsCity Council’s goal is to appoint a diverse membership that reflects the community’s character and is balanced by race and ethnicity, geographic representation, and gender. The following information assists staff in gathering statistics to measure the success in meeting this goal. Supplying this information is optional.Race or Ethnicity White Hispanic or Latino Asian Black or African American American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Gender Male Female SubmissionBy submitting this form you are agreeing that the information you have completed is true to the best of your knowledge. You also are affirming that you meet the qualifications required to serve on the board or commission for which you are applying. If you have entered an email address you are agreeing to allow us to contact you electronically regarding this matter. Please type your name and date below before submitting to confirm your application.Full Name * Required Date * Required MM slash DD slash YYYY The City Clerk’s Office will contact you after the application deadline has concluded. Please reach out to the City Clerk’s Office with any questions at 970-350-9743 or [email protected]CAPTCHANameThis field is for validation purposes and should be left unchanged.