2. Please complete the online form below.
4. Select the Board, Commission, or Committee applying for (you may select up to five):*

   1. Planning Commission
   2. Board of Adjustments/Board of Appeals
   3. Alarm Review Board
   4. Capital Improvment Projects Advisory Board
   5. Development Impact Review Committee
   6. Parks and Recreation Advisory Board
   7. Employee Pension and Retirement Board
   8. Citizens Participation Committee
   9. Community Oriented Policing Leadership Council
   10. Edmond Economic Development Authority
   11. KickingBird Golf Club Advisory Board
   12. Stormwater Drainage Advisory Board
   13. Community Agency Review Commission

   1. Public Works Committee
   2. Visit Edmond Tourism Advisory Board
   3. Edmond Public Transportation Committee
   4. Central Edmond Urban Development Board
   5. Guthrie-Edmond Regional Airport Board
   6. Edmond Bicycle Committee
   7. Arcadia Lake Commission
   8. Urban Forestry Commission
   9. Historic Preservation Trust
   10. Edmond Visual Arts Commission
   11. Veterans Memorial Advisory Committee
   12. No Preference
6. Personal Information
8. Name:*
9. Gender:*

   1. Male
   2. Female
11. Home Address (Street):*
13. City*
14. State*
15. Zip Code:*
17. Business Address:
19. Home Phone Number:*
20. Business Phone Number:
22. Occupation:*
23. Email Address:
25. In which Edmond Ward do you reside?*
27. Serving on a board or commission can be time consuming. Does your schedule allow attendance at all regularly scheduled meetings?*

    1. Yes
    2. No
29. If appointed are you willing to comply with the City of Edmond Conflict of Interest Policy, as stated in Section 63 of the City Charter?*

    1. Yes
    2. No
31. Section 63. Officers and employees to have no interest in any City contract. No officer or employee of the City, elective or appointive, shall be interested, directly or indirectly, in any contract or job for work or for materials or supplies or the profits thereof, or any purchase made by, to or with the City, or to own stock in any corporation having any contract or subcontract for doing any contract, job or ware, and all such contracts with such City officers or employees shall be void, and the violation of this clause shall be deemed a cause for removal from office or employment of such officer or employee. For the purpose of this section the depositing of any funds in a bank or other depository shall not be considered the making of a contract.
33. Education and Hobbies
35. High School:
36. College:
38. Trade or Business School:
40. Hobbies:
42. Organization Membership Information
44. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
46. If yes, which:
48. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
50. If yes, which:
52. Please list organization memberships and positions held:
54. Please List Areas of Special Interest
56. It is suggested that you include a cover letter and resume with your application.
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

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