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Charter Commission Application Form

  1. Charter Commission Application Form
  2. Personal Information
  3. Employment
  4. Residency Information
  5. Education
  6. Organization Membership Information
  7. Are you currently serving on other Boards, Commissions, or Committees?*
  8. Have you served on a Board, Commission, or Committee before?*
  9. Supplemental Questions
  10. The Charter Commission meets on an as needed basis with a minimum of one meeting per year. Can you meet this time commitment?
  11. You are not legally required to supply the information requested in this application. However, if you do not supply the requested information, the City may be unable to adequately evaluate your suitability for service, which may reduce your chances for appointment to a City board or commission.
  12. Electronic Signature Agreement *
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  13. Appointments to the Charter Commission are made by the Chief Judge of the Tenth Judicial District. Charter Commission seats are open until filled. Your application will be kept on file for one year.
    If, due to a disability, you need assistance completing an application or if you anticipate that you will need assistance in the selection process, please notify the Human Resources Department at 763-433-9867 (763-427-8591 TDD).
  14. Leave This Blank:

  15. This field is not part of the form submission.